老年上消化道穿孔术后早期肠内营养与肠外营养的临床效果比较

Comparison of Clinical Effects of Early Enteral Nutrition and ParenteralNutrition in Elderly Patients with Upper gastrointestinal Perforation

目的对老年上消化道穿孔术后分别通过早期肠内营养支持和肠外营养支持的临床效果进行研究比较。方法将80例在2018年6月至2019年6月于四平市中心人民医院接受老年上消化道穿孔术治疗的患者,分成观察组(n=40)和对照组(n=40),将采用全肠外营养支持治疗的患者纳入对照组,将采用早期肠内营养支持治疗的患者收纳入观察组,比较两组患者的营养指标以及免疫指标。结果观察组患者的术后第3天以及术后第7天的营养指标显著优于对照组患者,两组比较,差异具有统计学意义(P<0.05);观察组患者术后第3天以及术后第7天的免疫指标显著优良于对照组患者,两组比较,差异具有统计学意义(P<0.05)。结论通过早期肠内营养对老年上消化道穿孔术治疗的患者进行营养支持,能够显著改善患者营养指标以及免疫功能,改善效果优良于肠外营养,值得推广。

Objective To compare the clinical effects of early enteral nutrition support and parenteral nutrition support in elderly patients with upper gastrointestinal perforation.Methods Totally 80 cases of elderly patients with upper gastrointestinal perforation in Siping Central People's Hospital from June 2018 to June 2019 were divided into observation group(n=40)and control group(n=40).Patients with total parenteral nutrition support were included in the control group,and patients with early enteral nutrition support were included in the observation group immune index.Results The nutritional indexes of the observation group on the third day and the seventh day after the operation were significantly better than those of the control group,the difference was obvious,after statistical calculation,P<0.05,the difference was statistically significant;the immune indexes of the observation group on the third day and the seventh day after operation were significantly better than those of the control group,the difference was obvious,and the difference was statistically significant The difference was statistically significant(P<0.05).Conclusion Early enteral nutrition for elderly patients with upper gastrointestinal perforation can significantly improve the nutritional indicators and immune function of patients,and the improvement effect is better than parenteral nutrition,which is worthy of promotion.