早期肠内营养在预防肝硬化食管静脉再出血中的价值探讨  

Discussion on the Value of Early Enteral Nutrition in Preventing Rehaemorrhagia of Esophageal Veins in Cirrhosis Patients

作　　者：邹玉[1] 刘晶华[1] 张颖慧[1] 

机构地区：[1]云南省第二人民医院消化内科,云南昆明650021

出　　处：《昆明医科大学学报》2013年第3期73-75,共3页Journal of Kunming Medical University

基　　金：云南省自然科学研究基金资助项目(2009CD130)

摘　　要：目的探讨肝硬化食管胃静脉出血(GEVB)内镜治疗后早期肠内营养在预防其再出血的疗效观察.方法将105例GEVB内镜治疗后患者随机分为治疗组(营养液口服组72例)和对照组(常规饮食组33例),于内镜治疗后24 h给予进食,比较2组术后6周内患者有无再次出血.结果与对照组比较,治疗组术后6周再出血情况明显下降,差异有统计学意义(P<0.05).结论 GEVB内镜治疗后患者早期肠内营养可降低或改善肝硬化食管静脉再出血情况.Objective To discuss the efficacy of early enteral nutrition in preventing rehaemorrhagia in cirrhosis patients who received therapeutic endoscopy after gastrose ophageal variceal Bleeding（GEVB）.Methods 105 cirrhosis patients who received therapeutic endoscopy after GEVB were randomly divided into two groups,the treatment group（EEN group,n= 72） and the control group（Regular diet group,n=33）.Both of the two groups would have food after 24 hours from receiving therapeutic endoscopy,and then to compare the difference of rehaemorrhagia between the two groups in 6 weeks after operation.Results Compared with the control group,rehaemorrhagia rate of the treatment group decreased obviously.And it was statistically significant（P0.05）.Conclusion Early enteral nutrition given to patients who received therapeutic endoscopy after GEVB could decrease or ameliorate rehaemorrhagia.

关 键 词：肝硬化 出血 肠道营养 

分 类 号：R575.2[医药卫生—消化系统]