肠内营养预防腹部手术后消化道功能障碍临床研究

Preventive effect of enteral nutrition on gastroenteric functional disorder after abdominal operation

目的 观察肠内营养对腹部手术后病人功能性消化道功能障碍的防治作用及其应用时机。方法 对 2 0 0 1年 6月至 2 0 0 3年 6月收治的 88例上腹部手术病人随机分为肠内营养组 (n =4 8)和肠外营养组(n =4 0 ) ,观察分析两组病人术后消化道功能障碍发生情况。结果 肠内营养组无消化功能障碍发生 ,术后消化道功能恢复时间平均时间为 4± 1d ,肠外营养组 6例 (15 % )发生消化道功能障碍 ,术后消化道功能恢复时间平均为 6± 1d。两组比较术后消化道功能障碍发生率及消化道功能恢复时间均有差异。结论 肠内营养可预防术后消化道功能障碍发生 ,并明显缩短消化道功能恢复时间。

Objective To study the preventive effect of enteral nutrition on gastroentoric functional disorder after abdominal operation.Methods 88 postoperative patients were divided into two groups,the enteral nutrition group(EN,n=48) and the parentoral nutrition group(PN,n=40).The gastroenteric functional disorder status were observed.Results Gastroenteric functional disorder occurred in 6 patients of PN group and 0 patient of EN group.The recovery of bowel movement in EN group was much earliar than in PN group(P<0.05).Conclusion Enteral nutrition is effective for preventing gastroenteric functional disorder after abdominal operation and is benefical to the recovery of gastrointestinal function.