腹部手术病人早期少量肠道喂养的临床研究  

Clinical study of early enteral feeding for patients after abdominal operation

作　　者：徐鹏远[1] 谭晶[1] 许世才[1] 陈加勇[1] 甘平[1] 孙敏[1] 张家骅[1] 

机构地区：[1]昆明医学院附属二院普外科,650101

出　　处：《中国临床营养杂志》2000年第2期107-109,共3页Chinese Journal of Clinical Nutrition

摘　　要：目的　观察少量早期肠道喂养 (EEF)对腹部手术病人的安全性和作用。　方法　行腹部大中型手术病人 48例 ,分对照 (PN)组 2 4例 ,研究 (PN加EEF)组 2 4例。 2组采用等氮等热卡 ,研究组术后 2 0小时给予肠内营养。　结果　 2组病人术后 3天、7天体重 ,血浆白蛋白、氮平衡比较 ,差异均有显著性 (P <0 0 5 )。　结论　术后早期少量进食能增强PN的营养支持和治疗效果 ,无副作用 ,病人有无腹胀是能否进行EEF的重要指标。Objective To observe safety and effect of early enteral feeding (EEF) in patients undergoing abdominal operation. Methods 48 patients were randomly divided into 2 groups: control group ( n= 24) and treatment group ( n =24).Treatment group received parenteral nutrition (PN) and EEF and control group only received PN.Nutritive index and clinical effect were compared. Results Body weight,serum albumin,nitrogen balance and restoring time of the gastroenteric movement in the treatment group were better than those in the control group.There were signifioant less postoperative complications in the treatment group in the control group. Conclusions EEF for the patients undergoing abdominal operation could enhance nutritional support effect of PN and no side-effect.

关 键 词：腹部手术病人 少量肠道喂养 临床研究 早期肠道喂养 血浆白蛋白 肠内营养 治疗效果 营养支持 少量进食 术后早期 无副作用 安全性 氮平衡 显著性 

分 类 号：R459.3[医药卫生—治疗学]