胃手术后肠内营养与肠外营养的临床疗效分析

Clinical effectiveness of enteral nutrition and parenteral nutrition support in patients after gastric operation

目的探讨肠内营养（EN）新方法。方法将2007年1月至2009年12月行胃手术的206例，按方法不同分为肠外营养（PN）组（90例）和早期肠内营养（EN）组（116例），对比分析其临床资料。结果EN组均按计划完成治疗，PN组除2例因输液疼痛不适不能坚持外均按计划完成治疗。EN组胃肠功能恢复快，术后营养状况明显改善，住院天数及费用均低于PN组（P〈0．05），均痊愈出院。结论胃手术术中经鼻置窄肠营养管，术后行肠内营养，病人胃肠功能恢复快，营养状况得到改善，符合快速康复外科要求。

Objective To study a new way of enteral nutrition （EN）. Methods Two hundred and six cases subject to gastric operation were divided into two groups by different nutrition method： parenteral nutrition（PN） group （90 cases） and early entera[ nutrition （EN） group （ 116 cases）, and their clinical data was analyzed by contrast. Results All patients in EN group completed treatment by plan. Except 2 cases of pain in perfusion distension, the remaining in PN group completed treatment. The EN group showed a much faster recovery of gastrointestinal function than PN group. In addition, nutrition status was ameliorated markedly, and hospital stay and cost of hospitalization were reduced in EN group as compared with PN group（P〈0. 05）. And all of them were cured. Conclusion EN af- ter gastric operation can promote recovery of gastrointestinal function, ameliorate nutrition status. It meets the reauirements of ouick recovery in surEerv.