肝癌患者肝切除前后口服肠内营养混悬液的效果观察  

Effects of perioperitive oral enteral nutrition therapy in liver cancer patients

作　　者：陈颖君[1] 范英华[2] 乔羽[2] 柏建岭[3] 仇毓东[2] 

机构地区：[1]南京大学医学院附属鼓楼医院老年科,南京市210008 [2]南京大学医学院附属鼓楼医院肝胆外科,南京市210008 [3]南京医科大学统计学教研室

出　　处：《中华护理杂志》2012年第5期399-401,共3页Chinese Journal of Nursing

基　　金：国家传染病防治科技重大专项资助项目(编号:2008ZX10002-26)

摘　　要：目的探讨肝癌患者行精准肝切除术前后口服肠内营养混悬液对患者术后康复的影响。方法将54例接受精准肝切除术的肝癌患者随机分为观察组和对照组,每组27例。观察组围手术期在常规护理基础上按计划口服肠内营养混悬液;对照组采用常规治疗,未口服肠内营养液。比较两组术后肠功能恢复、肝功能恢复情况及术后住院时间。结果与对照组比较,观察组患者手术后第1、7天的谷丙转氨酶(ALT)下降明显,差异有统计学意义(P<0.05);与对照组比较,观察组的肠功能恢复加快,术后住院时间缩短,差异有统计学意义(P<0.05)。结论接受精准肝切除术的肝癌患者围手术期口服肠内营养混悬液。Objective To observe the effects of early enteral nutrition（EEN ） on postoperative rehabilitation in patients receiving hepatectomy. Methods Fifty-four patients undergoing precise liver resection were randomly divided into two groups： EEN group（n=27） and the control group（n=27）. In EEN group,patients were administered oral enteral nutrition TP-MCT under the guidance of meticulous care during perioperative period,whereas patients in the control group receiving routine care without oral administration of enteral nutrition. The two groups were compared in the following factors ：gastrointestinal function, liver function,and hospital duration. Results Compared with the control group,the level of ALT 1 day and 7 days after operation was significantly lower in EEN group（P〈0.05）. Moreover, faster recovery of bowel function and shorter hospital stay after operation were markedly observed in EEN group（P〈0.05）. Conclusions Oral administration of enteral nutrition is beneficial for patients receiving precise liver resection to recover liver and bowel functions.

关 键 词：肝肿瘤 肝切除术 肠道营养 护理 

分 类 号：R735.7[医药卫生—肿瘤]