老年病人腹部术后早期肠内营养的临床应用

Clinical experience of early enteral nutrition on elderly post operative patients

目的 研究老年病人在腹部大手术后早期肠内营养的临床疗效及安全性、可行性。方法 3 0例腹部大手术的老年病人在术后 2 4h给予维沃 ,第四天给茚沛 ,整个过程维沃维持 8～12d ,肠内制剂的投入通过术中留置空肠造瘘管或术后放置鼻肠管。结果 术后第 7天均转入正氮平衡 ,血浆前白蛋白和转铁蛋白均明显回升。结论 早期肠内营养符合生理要求 ,简便、安全、实用有效 ,对体质差、年龄大的病人更为适合。

Objectives To study the clinical effect,safety and feasibitility of early enteral nutrition after surgery in elderly patients.Methods Thirty patients received enteral nutrition for 8～12 days.With vivonex (made by Novartis) through nose-duodenal tubes after 24 hours of surgery.IMpact(made by Novartis) was used instead of Vivonex after 4th days.Results Pre-albumin and transferrin concentrations were markedly increased on the 7th day after operation.Nitrogen balance was positive on the 7th day after operation.Conclusions Early enteral nutrition is an effective,safe,easy way in the elderly post operative patients.