结肠穿孔致急性腹膜炎病人术后营养支持的临床研究  

Clinical study of nutritional support in patients with acute peritonitis caused by colonic perforation

作　　者：马驰[1] 史炼钢[1] 曲杨[1] 于镜泊[1] 王东[1] 贾友鹏[1] 

机构地区：[1]大连市中心医院肝胆外科,辽宁大连116033

出　　处：《肠外与肠内营养》2017年第3期168-170,共3页Parenteral & Enteral Nutrition

摘　　要：目的:比较急性结肠穿孔病人术后早期肠内营养(EEN)和全肠外营养(TPN)支持治疗对机体恢复和营养状态的效果,探讨急性结肠穿孔术后合适的营养支持治疗方法。方法:回顾性研究分析60例急诊手术的急性结肠穿孔病人,根据所给予的营养支持治疗方式的不同将所有病人分为EN+PN组和TPN组。对比两组病人的临床治疗效果。结果:EN+PN组治疗效果明显优于TPN组,且差异有显著性统计学意义(P<0.05)。结论:结肠穿孔术后EEN支持可改善病人的营养状态,加速病人康复,减少术后并发症。Objective： To investigate the effect of different postoperative nutritional support on the gastrointestinal function and nutritional status in acute colon peforation patients. Methods： 60 ca- ses of acute emergency operation patients with perforation of the colon, according to the given nutritional support treatment of the different ways, were divided into enteral parenteral joint nutrition （ EN ＋ PN ） group and total parenteral nutrition （TPN） group. Clinical therapeutic effects of two groups were com- pared. Results ： The results of EN ＋ PN group were significantly better than the those in TPN group （P 〈 0.05 ）. Conclusion ： EN ＋ PN model can improve the postoperative nutritional status and accel- erate the recovery of patients with acute colonic perforation.

关 键 词：结肠穿孔 全肠外营养支持治疗 肠内联合肠外营养支持治疗 

分 类 号：R459.3[医药卫生—治疗学] R574.62[医药卫生—临床医学]