恶性梗阻性黄疸病人术后肠内营养开始时机的研究  

A study on the timing of enteral nutrition in postoperative patients with malignant obstructive jaundice

作　　者：田莉莉[1] 李丽[1] 赵洁[1] 马兴涛[1] 王若乔[1] 马瑞珩[1] 叶志霞[1] 

机构地区：[1]第二军医大学东方肝胆外科医院护理部,上海200438

出　　处：《肠外与肠内营养》2008年第4期225-227,231,共4页Parenteral & Enteral Nutrition

基　　金：上海市科委科研计划项目资助(054119531)

摘　　要：目的:探讨恶性梗阻性黄疸病人术后EN开始的适宜时机。方法:将60例恶性梗阻性黄疸术后病人随机分为EEN组和延迟EN组,比较两组病人术后的营养指标、胃肠道不良反应的发生率、手术并发症的发生率、肛门排气时间和营养治疗相关费用等。结果:两组病人术后营养指标、胃肠道不良反应和手术并发症的发生率等差异无显著性意义(P>0.05);EEN组肛门排气时间早于延迟EN组,营养治疗费用亦少于延迟EN组(P<0.01)。结论:恶性梗阻性黄疸病人术后24 h行EN治疗安全可行,并可促进病人肠功能恢复,减少营养治疗费用。Objective ： To explore the with malignant obstructive jaundice. appropriate timing of enteral nutrition in postoperative patients Methods： Sixty postoperative patients with malignant obstructive jaundice were randomized into early enteral nutrition group （enteral nutrition given in 24 h after surgery） and delayed enteral nutrition group （enteral nutrition given after anus exsufflation）. The postoperative nutritional condition, incidence of gastrointestinal adverse reactions and complications of operation, time of anus exsufflation,and nutritional cost were compared between the two groups. Results： There was no statistical difference in postoperative nutritional condition, incidence of gastrointestinal adverse reactions and complications of operation between the two groups （P〉0.05）. The anus exsufflation in the early enteral nutrition group was earlier than that in the delayed enteral nutrition group, and the nutritional cost was less than that in the delayed enteral nutrition group （P〈0.05）. Conlusion ： Enteral nutrition given in 24h in postoperative patients with malignant obstructive jaundice is safe, and it can promote the recovery of gastrointestinal function and decrease the nutritional cost.

关 键 词：肠内营养 梗阻性黄疸 开始时机 

分 类 号：R735[医药卫生—肿瘤]