围手术期肠内营养在胰十二指肠切除术中的应用

Application of enteral nutrition given to the patients with pancreaticoduodenectomy during perioperation stage

目的:评价围手术期肠内营养(E N)对胰十二指肠切除术(PD)的支持效果。方法:回顾性分析53例行PD的患者,比较28例围手术期给予EN和25例给予肠外营养(PN)的患者胃肠功能、肝功能和免疫功能恢复的情况和术后并发症发生率、术后住院时间及住院费用。结果:两组术后第7天肝功能及并发症发生率比较差异无统计学意义(P>0.05),EN组术后胃肠功能恢复时间、住院时间及住院费用等明显少于PN组(P<0.05);EN组免疫功能恢复情况明显优于PN组(P<0.05)。结论:围手术期EN有助于肠道功能恢复、提高免疫力、降低住院时间和住院费用。

Objective：To the evaluate the support effects of enteral nutrition（EN） given to the patients with pancreaticoduodenectomy（PD） during perioperation stage.Methods：Retrospect analyze 53 patients＇clinical information who underwent PD with perioperative EN（n=28） or PN（n=25） post-operation,the differences of the resumption of gastrointestinal function,liver function and immunologic function,the incidence of postoperative complications,the hospital stays and the hospitalization costs were compared between two groups.Results：Liver function on the 7th day after operation and incidence of postoperative complication were no significant discrepant between EN group and PN group（P＞ 0.05）.The resumption of gastrointestinal function,hospital stays and hospitalization costs in EN group were lower than those in PN group（P＜ 0.05）.The resumption of immunologic function in EN group was superior to those in PN group（P＜ 0.05）.Conclusion：Perioperative EN could promote the recovery of gastrointestinal function,improve the immunologic function,reduce the incidence of postoperative complications,hospital stays and hospitalization costs.