手术后经空肠造口管早期肠内营养病人的耐受性分析  

Analysis of early enteral nutrition tolerance by postoperative jejunostomy

作　　者：李为明[1] 徐鹏远[1] 岑云云[1] 陈雄志[1] 刘剑[1] 孙大力[1] 戚宇星[1] 

机构地区：[1]昆明医学院第二附属医院干疗外科,云南昆明650101

出　　处：《肠外与肠内营养》2009年第2期90-92,共3页Parenteral & Enteral Nutrition

摘　　要：目的:分析影响腹部手术后病人经空肠造口管EEN耐受性的相关因素。方法:对63例腹部术后病人经空肠造口管行EEN支持,观察其耐受性,并用Logistic多因素回归分析,探讨影响病人对EEN耐受性的相关因素。结果:63例病人中有45例(71.4%)能耐受EEN支持,18例(28.6%)不能耐受EEN支持。Logistic多因素回归分析显示:APACHE-Ⅱ评分、术后血清ALB、术中失血量和输血量,是影响病人术后EEN耐受性的因素(P<0.05)。结论:腹部手术后病人经空肠造口管EEN耐受性良好。EEN支持的耐受性除与喂养方式有关外,还与疾病状态及其严重程度、血清ALB水平、术中失血量和输血量等因素相关。Objective： To explore tolerance -related factors of early enteral nutrition by needle-catheter jejunostomy （NCJ）after abdominal surgery. Methods： 63 patients after major abdominal surgery were postoperative with early postoperative jejunal feeding. Tolerance of early enteral nutrition was judged. Tolerance -related factors of early enteral nutrition were analyzed by Multivariate logistic regression analysis. Results： Among the 63 patiens, 45 patients （71. 4% ） could tolerate very well. 18 patients （28.6%） couldnt tolerate. Multivariate logistic regression analysis showed that APACH-Ⅱ score, albumin, intraoperative blood loss and intraoperative blood transfusion were the major factors affecting intolerance of early postoperative jejunal feeding. Conclusion ： Early postoperative jejunal feeding was welltolerated. Besides enteral nutrition project, the severity of disease status, level of serum albumin, intraoperative blood loss and intraoperative blood transfusion were significantly correlated with intolerance to early postoperative jejunal feeding.

关 键 词：早期肠内营养 耐受性 针刺导管空肠造口术 

分 类 号：R459.3[医药卫生—治疗学]