胰十二指肠切除术后经鼻肠管早期肠内营养的疗效  

Efficacy of early enteral nutrition via naso-intestinal tube in patients underwent pancreaticoduodenectomy

作　　者：汤小磊[1] 常仁安[1] 陈钟[1] 唐伟东[1] 朱李瑢[1] 

机构地区：[1]南通大学附属医院肝胆外科,江苏省226001

出　　处：《江苏医药》2014年第24期2987-2989,共3页Jiangsu Medical Journal

基　　金：江苏省"科教兴卫工程"医学创新团队项目(LJ201134)

摘　　要：目的观察胰十二指肠切除术后经鼻肠管早期肠内营养疗效。方法 149例行胰十二指肠切除患者分为两组:治疗组(91例)术后第3天开始经鼻肠管肠内营养;对照组(58例)术后常规静脉滴注肠外营养液。比较两组术后相关指标变化。结果治疗组术后排气时间、排便时间和住院时间分别为(3.7±1.2)d、(6.2±3.5)d和(13.2±3.3)d,均短于对照组的(5.3±2.0)d、(7.8±4.2)d和(16.2±4.1)d(P<0.05)。两组术后第7天白蛋白、淋巴细胞计数及体重相仿(P>0.05)。治疗组无并发症发生,依从性好。结论胰十二指肠切除术后行经鼻肠管早期肠内营养较肠外营养安全、方便,效果好。Objective To observe the efficacy of early enteral nutrition（EN）via naso-intestinal tube after pancreaticoduodenectomy.Methods A total of 149 patients underwent pancreaticoduodenectomy was assigned into two groups of EN（treated with EN started from the 3th day after surgery,91cases）and C（treated with intravenous nutrition as control,58cases）.Clinical efficacy and nutrition-related complications were recorded and compared between both groups.Results The exhaust time,defecation time and hospital stay were all shorter in group EN than those in group C[（3.7±1.2）d vs.（5.3±2.0）d,（6.2±3.5）d vs.（7.8±4.2）d and（13.2±3.3）d vs.（16.2±4.1）d]（P〈0.05）.Albumin,lymphocyte count and weight on the 7th day of treatment were similar in both groups（P〉0.05）.The patients of group EN had a better compliance without complications.Conclusion Clinical efficacy of early EN via naso-intestinal tube is better than that of intravenous nutrition in the patients underwent pancreaticoduodenectomy.

关 键 词：胰十二指肠切除术 肠内营养 肠外营养 

分 类 号：R459[医药卫生—治疗学]