术后早期肠内营养护理方式对肝硬化行单纯脾切除术患者术后恢复的影响

The Effect of Early Enteral Nutrition Nursing on Postoperative Recovery in the Patients with Liver Cirrhosis After Simple Splenectomy

目的：探讨术后早期肠内营养护理在肝硬化行单纯脾切除患者术后的应用效果。方法选取2013年1月—2014年6月收治的50例肝硬化行单纯脾切除术的患者，随机分为观察组和对照组，两组术前处理方法相同。对照组术后采用常规护理、常规营养；观察组采用术后早期肠内营养护理。比较两组患者术后营养、免疫状态、胃肠功能及康复情况。结果观察组术后5 d的血浆总蛋白、白蛋白、前蛋白、血红蛋白计数均高于对照组，差异有统计学意义（P＜0.05）。观察组术后的肠鸣音恢复时间、肛门排气时间、排便时间、切口愈合时间、普通饮食时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）。结论术后早期肠内营养有利于改善肝硬化行单纯脾切除术患者的术后营养状态和胃肠功能恢复，减少住院时间。

Objective To explore the effects of early enteral nutrition nursing in patients with liver cirrhosis after simple splenectomy.Methods From January 2013 to June 2014 in our hospital fifty patients with liver cirrhosis after simple splenectomy were selected and randomly divided into 2 groups： the observation group and the control group, two groups＆#39; preoperative treatment methods were the same. The control group was given the conventional diet nursing, the observation group was given early post-operative enteral nutrition nursing. The postoperative nutrition situation, immune status, gastrointestinal function, rehabilitation conditions were compared between the two groups.ResultsTotal plasma protein, albumin, prealbumin and hemoglobin 5 days after the operation in the observation group were significantly higher than those in the control group with statistical significance （P〈0.05）. The postoperative recovery time of bowel sound, anal exhaust time, defecation time, wound healing time, ordinary diet time, hospital-stay time in the observation group were signifi cantly less than those in the control group with statistical signifi cance （P〈0.05）.Conclusion Early enteral nutrition nursing could improve nutrition situation and intestinal function of patients with liver cirrhosis after simple splenectomy and accelerate rehabilitation.