短肽型肠内营养制剂在妇科腹腔镜术前肠道准备中的应用

Application of short peptide enteral nutrition in preoperative bowel preparation for patients with gynecological laparoscopy

目的:探讨短肽型肠内营养(EN)制剂在妇科腹腔镜病人术前肠道准备的可行性和效果。方法:采用随机数字表法将纳入的100例病人随机分为2组,试验组(n=50)术前3天口服短肽型EN制剂作术前肠道准备;对照组(n=50)给予一般流质饮食和行机械肠道准备。比较两组术中医师对肠道准备的满意度,术后首次肛门排气时间,住院时间及营养相关指标。结果:试验组医师对肠道准备满意度显著高于对照组(90%vs 64%)(P<0.01);试验组病人术后首次排气时间和住院时间较对照组明显缩短(P<0.05);试验组病人白蛋白和血红蛋白水平较对照组显著升高(P<0.01)。结论:短肽型EN制剂用于妇科腹腔镜术前肠道准备安全有效,有利于术后肠功能的恢复和病人营养状况的改善且缩短了术后住院时间,值得临床推广。

Objective： To explore the feasibility and efficacy of short peptide enteral nutrition in preoperative bowel preparation for patients with gynecological laparoscopy. Methods： A total of 100 patients with gynecological laparoscopy were randomized into the trial group（n = 50） and the control group（n = 50） by using the random number table method. Patients in the study group received short peptide enteral nutrition for three days before operation without mechanical bowel preparation. Patients in the control group received traditional liguid diet and mechanical bowel preparation. The satisfaction of bowel preparation, postoperative anal exhaust time, hospitalization time and nutritionrelated parameters were compared between the two groups. Results： Doctor＇s satisfaction of bowel preparation in the study group was significantly higher than the control group（90% vs 64%）（P〈0.01）. Postoperative anal exhaust time and hospitalization time were shorter in the control group（both P〈0.05）. The levels of postoperative albumin and hemoglobin in study group were significantly higher than the control group（both P〈0.05）. Conclusion： Short peptide EN in preoperative bowel preparation of gynecological laparoscopy reveals a better efficacy and safety, a better recovery in postoperative intestinal function and nutritional status, and a shorter postoperative hospitalization time. It is well worth clinical promotion.