早期肠内营养在肝胆外科术后患者胃肠功能恢复中的价值

The Value of Early Enteral Nutrition in the Recovery of Gastrointestinal Function in Patients After Hepatobiliary Surgery

目的研究早期肠内营养在肝胆外科术后患者胃肠功能恢复中的价值。方法本次研究对象为2019年6月—2020年5月在本院接受手术治疗的肝胆外科患者,按照随机数字表法将107例患者进行分组,对照组52例予以常规肠内营养支持,观察组55例实施早期肠内营养支持。将两组的营养相关指标、胃肠功能恢复情况、住院时间进行比对,评估临床疗效。结果治疗后,观察组患者的血清白蛋白(albumin,ALB)、前白蛋白(prealbumin,PAB)、预后营养指数(prognostic nutritional index,PNI)均高于对照组,差异具有统计学意义(P<0.05);观察组患者的胃肠功能恢复时间、住院时间均短于对照组,治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论对肝胆外科术后患者实施早期肠内营养支持有助于其营养状况的改善,可促进胃肠功能恢复,疗效显著。

Objective To study the value of early enteral nutrition in the recovery of gastrointestinal function in patients after hepatobiliary surgery.Methods 107 patients with hepatobiliary surgery in our hospital from June 2019 to May 2020 were randomly divided into control group(52 cases)and observation group(55 cases).The nutritional related indicators,gastrointestinal function recovery and hospitalization time of the two groups were compared to evaluate the clinical efficacy.Results After treatment,the serum albumin(albumin,ALB),prealbumin(PAB)and prognostic nutritional index(PNI)of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05);the recovery time of gastrointestinal function and hospitalization time of the observation group were shorter than those of the control group,and the total effective rate of treatment was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Early enteral nutrition support for patients after hepatobiliary surgery is helpful to improve their nutritional status and promote the recovery of gastrointestinal function.