全胃切除术后腹胀与脂肪乳肠外营养关系的研究

Study on the Relationship Between Abdominal Distention and Structolipid in Parenteral Nutrition After Total Gastrectomy

目的观察全胃切除术后,患者腹胀与肠外营养支持营养液中添加结构脂肪乳的关系。方法对45例行全胃切除术且NRS-2002营养风险筛查≥3分的患者,术后3天内予全合一肠外营养支持,营养液配制均按25 Kcal/kg体质量计算总热量,根据给予的营养液配制不同随机分为脂肪乳0组,脂肪乳250 ml组和脂肪乳500 ml组,观察术后3 d患者腹胀情况。结果脂肪乳0组、脂肪乳250 ml组和脂肪乳500 ml组的腹胀发生率分别为11.11%、28.89%、31.11%,脂肪乳0组和脂肪乳250 ml组差别有统计学意义(P<0.01),脂肪乳250 ml组和脂肪乳500 ml组差别无统计学意义(P>0.05)。结论肠外营养支持添加脂肪乳可能是全胃切除术后腹胀的原因,但添加脂肪乳的量对腹胀的影响没有差别。

Objective To observe the relationship between abdominal distension and parenteral nutrition in the addition of structolipid after total gastrectomy. Methods 45 patients received total gastrectomy with nutritional risk screening of NRS-2002 ≥ 3 were given all-in- one parenteral nutrition support for the first 3 days after operation. The total calories of nutrient solution is calculated by the weight of 25 Kcal/kg, according to the given nutrient solution preparation were randomly divided into structolipid 0 group, structolipid 250 ml group and structolipid 500 ml group, observation of postoperative abdominal distension in patients within 3 days was recorded. Results The incidence of abdominal distension in structolipid 0 group, structolipid 250 ml group and structolipid 500 ml group were 11.11%, 28.89%, 31.1 1%, the difference between structolipid 0 group and structolipid 250 ml group was statistically significant （P 〈 0.01）,the difference between structolipid 250 ml group and structolipid 500 ml group has no statistically significant difference （P 〉 0.05）. Conclusion The addition of structolipid in parenteral nutrition may be the cause of abdominal distension after total gastrectomy, but there is no difference in the effect of added structolipid quantity on abdominal distension.