经三腔二囊管行肠内营养在食管-胃底静脉曲张破裂出血患者中的应用被引量：3

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摘要目的探讨经三腔二囊管行肠内营养(EN)在肝硬化食管-胃底静脉曲张破裂出血(GEVB)手术患者术前营养支持治疗中的作用及其安全性。方法选取准备行手术治疗的肝硬化GEVB患者30例作为研究对象;置入三腔二囊管压迫止血;冲洗吸引无出血后即经中心胃管行术前肠内营养(EN)2周;比较EN前后患者营养水平(三头肌皮褶厚度、上臂周径、白蛋白、前白蛋白)、肝功能(ALT、AST、TBIL)的变化;并观察分析EN后再出血情况及相关不良反应。结果 EN后,患者营养状况明显改善(P<0.05),而对肝功能则无显著影响(P>0.05)。肠内营养期间患者耐受良好,未发生严重不良反应,患者均顺利接受了手术。结论三腔二囊管不仅可用于GEVB的紧急止血,还可运用于该类患者止血后肠内营养支持治疗,且安全有效。

作者方宏才詹文波张建平余涛魏远江

机构地区九江学院临床医学院/附属医院肝胆外科

出处《广东医学》 CAS 北大核心 2015年第22期3494-3495,共2页 Guangdong Medical Journal

基金江西省卫生厅科技计划项目(编号:20157079)

关键词食管-胃底静脉曲张破裂出血肝硬化三腔二囊管肠内营养术前营养支持

分类号 R571.3 [医药卫生—消化系统]

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