家庭肠内营养支持的应用  

Experience of home enteral nutrition

作　　者：江志伟[1] 李强[1] 汪志明[1] 柏屏[1] 邹志英[1] 彭南海[1] 李宁[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2006年第6期353-354,358,共3页Parenteral & Enteral Nutrition

基　　金：江苏省六大人才高峰重点课题基金资助项目(批准号:2005A2)

摘　　要：目的:研究分析近3年来家庭肠内营养(HEN)支持的应用情况及经验。方法:回顾性分析2001年12月至2004年11月HEN病人资料,重点研究HEN的适应证、使用途径、输注方法、制剂种类、使用时间、并发症及处理。结果:HEN病人共111例,HEN适应证有56.8%是恶性肿瘤病人,57.6%通过经皮内镜下胃或空肠造口途径,循环输注是主要方法(56.8%),使用商品化EN制剂联合自制匀浆最为广泛(79.3%),大多为自费(71.2%)。HEN并发症轻微,易控制。结论:HEN操作简便,安全有效,是目前主要应用形式。Objective：We report our experience of home enteral nutrition in recent 3 years, methods： From December 2001 to November 2004, HEN patients were retrospectively studied focusing on the indication, methods of tube feeding, formula selection, and complications. Results ： HEN was performed in 111 patients including 77 males and 39 females with average age of （56.7 ±14.3 ）years. Malignant disease was the first indication for HEN（56.8% ）. Many patients received enteral feeding through PEG/J tube （57.6%） by recycle infusion （56.8%） with standard EN combined home-prepared food （79.3 % ）. A mechanical pump was only used in some patients （ 1.8% ）. Most patients used HEN at their own expense （71.2%）. No serious complications happened and minor complications could be managed successfully in HEN. Conclusion：HEN is an easily, safe and cost-effective method and will be widely applied in future.

关 键 词：家庭 营养支持 

分 类 号：R459.3[医药卫生—治疗学]