结直肠肿瘤围术期早期肠内营养起始时间临床观察  

Beginning time of early enteral nutrition for colorectal tumor during perioperative period

作　　者：胡石奇[1] 陈熙文[1] 刘振邦[1] 杨平[1] 唐伟镖[1] 

机构地区：[1]广州市第一人民医院普通外科,510180

出　　处：《中华普通外科学文献（电子版）》2010年第6期45-47,共3页Chinese Archives of General Surgery(Electronic Edition)

基　　金：广东省科技计划项目(2006B30005);广州市医药卫生科技项目(2006-YB-021)

摘　　要：目的 探讨结直肠肿瘤围术期进行早期肠内营养支持的恰当起始时间.方法 选择已确诊拟接受手术治疗的结直肠肿瘤住院患者100例,随机分成试验1～3组和对照组,各25例,分别于术后6、12、24、48h给予早期肠内营养支持.比较4组术后2 d内腹部不适发生情况,以及术后肠蠕动（肠鸣音）恢复和肛门排气时间,检测术后7 d血液常规,肝、肾功能及血糖等指标,观察术后吻合口与切口愈合情况.结果 与对照组比较,试验各组术后肠蠕动恢复和肛门排气时间差异有统计学意义（P＜0.05）;术后腹胀隐痛不适发生率,切口感染率,以及术后7d血液常规,肝、肾功能及血糖等指标比较差异无统计学意义.结论 结直肠肿瘤手术6h后即可进行早期肠内营养支持,将能有助于促进手术后肠道功能的尽快恢复,且安全可行.Objectives To investigate the proper beginning time of early enteral nutrition （EEN） in the perioperative period of colorectal tumor. Methods One hundred patients accepted colorectal tumor surgery were selected and randomly divided into 4 groups, including 3 groups of treatment group with therapy with EEN 6, 12, 24 hours after surgery, and control group with 48 hours after surgery. Some aspects were analyzed between the 4 groups, including promoted clinical manifestation and signs, below movement recovery time, blood routine examinations, liver and renal function, blood glucose and so on. Results As for clinical manifestation and sign promotion, there was statistically significance in the alleviation of the below movement recovery time between the treatment group and the control group, P〈0.05. As for blood routine examinations, liver and renal function, blood glucose, there were no statistically significance between the treatment group and the control group. Conclusions Six hours after colorectal tumor surgery, EEN can be carried out, which is safe and effective. It can also help promote and accelerate the recovery of below function.

关 键 词：围手术期 结直肠肿瘤 营养支持 时间治疗学 起始时间 

分 类 号：R735.3[医药卫生—肿瘤]