胰十二指肠切除术后早期经口与经鼻空肠管肠内营养临床疗效分析  

Early orogastric feeding compared with nasoenteric tube enteral nutrition in postoperative pancreaticoduodectomy patients

作　　者：杨薇 谭春路[2] 李可洲[2] 杨艳[3] 

机构地区：[1]天府新区人民医院普外科,成都610041 [2]四川大学华西医院胰腺外科 [3]遵义医学院附属医院ICU

出　　处：《中华普通外科杂志》2017年第9期738-741,共4页Chinese Journal of General Surgery

摘　　要：目的比较胰十二指肠切除术后24～48h内经鼻空肠管肠内营养与经口肠内营养的临床疗效。方法回顾性分析2013年6月至2015年1月期间四川大学华西医院收治的87例行胰十二指肠切除术患者的临床资料。根据术后24～48h内起始肠内营养的途径不同分为经鼻空肠管肠内营养组（n=47）和经口肠内营养组（n=40）。主要分析指标：患者的耐受度、术后住院时间、肠功能恢复时间以及胰十二指肠切除术后的主要相关并发症。结果经鼻空肠管肠内营养组肠功能恢复时间及住院时间比经口肠内营养组短（分别P〈0．001，P=0．017），差异有统计学意义；2组患者的耐受度差异无统计学意义（P=0．089）；2组患者术后主要相关并发症（P=0．745）和死亡率（P=1．00）比较，差异无统计学意义。结论胰十二指肠切除术后选择经鼻空肠管肠内营养可改善氮平衡、促进肠蠕动、缩短住院时间。Objective To study the postoperative nutritional effects of early orogastric feeding compared with nasoenteric tube enteral nutrition within postoperative 24 -48 h in pancreaticoduodenectomy （PD） patients. Methods The clinical data of 87 PD patients from June 2013 to January 2015 in Huaxi Hospital was analyzed retrospectively. Patients were divided into orogastric enteral nutrition group and nasoenteric tube enteral nutrition group. Patients＇ tolerance, hospital stay, mortality, and major complications associated with PD were compared . Results The average time of bowel function recovery （P 〈0. 001） and average hospital stay （P = 0. 017） in the nasoenterie tube enteral nutrition group were significantly shorter than those in the orogastric enteral nutrition group. The differences of patients＇ tolerance were not statistically different （ P = 0. 089 ）. The differences of major complications and mortality were not statistically different （P = 0. 745, P = 1.00）. Conclusions Nasoenteric tube enteral nutrition in after PD patients improves nitrogen balance, promotes bowel function recovery and makes hospital stay shorter.

关 键 词：胰十二指肠切除术 肠道营养 经鼻空肠管 

分 类 号：R657.5[医药卫生—外科学]