腹部外科病人术后饮食的临床研究  

Clinical Research of Postoperative Oral Feeding of Patients with the Abdominal Surgical

作　　者：胡家萍[1] 余永欢[1] 蒋玲红 杨先玉[3] 

机构地区：[1]江西医学院第一附属医院普外科 [2]江中制药厂仓储部 [3]江西中医学院附属医院西外科,江西南昌330006

出　　处：《江西医学院学报》2004年第3期47-49,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的　探讨腹部外科病人术后何时能进饮食及怎样进饮食。方法　比较试验饮食组 (A)和传统严格控制饮食组 (B)在术后耐受饮食、并发症、重插胃管、住院时间、恢复普通饮食平均时间及白蛋白和体重下降平均水平方面的差别。结果　术后恢复普通饮食的平均时间A组为 5d ,B组为 8d(P <0 .0 1) ,但两组术后平均住院时间无显著差异 (P >0 .0 5 ) ;A组有 11例需重插胃管 ,B组有 10例 (P >0 .0 5 ) ;术后并发症A组和B组无差异 (P >0 .0 5 ) ;术后白蛋白及体重下降平均水平 ,B组比A组低 (P <0 .0 1)。结论　大多数病人术后 5d能耐受普通饮食 ;试验组饮食安全、可以早期恢复普通饮食 。Objective To explore when and how the patients eat after abdominal surgery.Methods A randomized clinical trial compared patient-controlled postoperative oral feeding(group A n=100)with a fixed regimen(group B n=100)in time to tolerance of a diet,complications,reinsertion of a nasogastric tube,duration of hospitalization,time to resumption of normal diet,loss of albumin and weight.Results Median time to resumption of normal diet after surgery was 5 days in group A and 8 days in group B(P<0.01).but two groups in duration of hospital stay were no significant different(P>0.05);11 of 100 patients in group A and 10 of 100 patients in groups B needed to reinsertion of a nasogastric tube(P>0.05).There was no significant difference in incidence of complications between the two groups(P>0.05).In median loss of albumin and weight after suggery,group B showed significantly more than group A (P<0.01).Conclusion Most patients can tolerate a normal diet at 5 days after operation;postoperative feeding of group A is safe and leads to earlier resumption of a normal diet.Nutriture of group A is better.

关 键 词：腹部外科病人 术后饮食 病例报告 

分 类 号：R656[医药卫生—外科学]