加速康复外科理念下肠内营养支持在肝胆外科患者围手术期应用效果分析  

The application effect of enteral nutritional support under the concept of enhanced recovery after surgery in patients during the perioperative period from hepatobiliary surgery

作　　者：黄育英[1] 欧国英 孙玥 郑新金 Huang Yuying;Ou Guoying;Sun Yue;Zheng Xinjin(Nutrition Department, Huizhou Third People＇s Hospital, Huizhou 516001, China)

机构地区：[1]惠州市第三人民医院临床营养科,516001

出　　处：《国际医药卫生导报》2018年第11期1726-1729,共4页International Medicine and Health Guidance News

摘　　要：目的分析肝胆外科患者围手术期应用加速康复外科理念下肠内营养支持的效果。方法选取2016年12月至2017年12月在本院接受外科手术治疗的126例肝胆疾病患者临床资料，按干预方案不同分两组，各组63例。对照组行围术期常规营养下预，观察组在ERAS理念下行肠内营养支持，两组临床时间指标及营养状态指标、不良反应比较。结果观察组术后排气、排便及住院时间[（3．71±1．02）d、（4．23±1．31）d、（9．21±1．84）d]均比对照组短，差异有统计学意义（P〈0．05）；观察组术后体重下降（1．25±0．41）kg比对照组少，ALB（38．17±3．06）g／L、TRF（219．56±45．63）mg／dl、PALB（190．33±20．36）mg／I．含量均比对照组多，差异有统计学意义（P〈0．05）；两组不良反应发生率比较，差异无统计学意义（P〉0．05）。结论肝胆外科患者围手术期应用加速康复外科理念下肠内营养支持能加快胃肠功能恢复，提升机体营养状态，减少胃肠道不适，预后良好。Objective To analyze the application effect ofenteral nutritional support under the concept of enhanced recovery after surgery in patients during the perioperative period from hepatobiliary surgery. Methods 126 patients with hepatobiliary diseases undergoing surgical treatment in our hospital from December 2016 to December 2017 were selected and were divided into two groups according to the intervention plan, 63 patients in each group. The control group received routine nutritional intervention during the perioperative period, and the observation group received enteral nutritional support under the concept of enhanced recovery after surgery （ERAS）. The clinical time indicators, nutritional status indicators, and adverse reactions of the two groups were compared. Results The postoperative exhaust time, defecation time, and hospital stay in the observation group were （3.71±1.02） days, （4.23±1.31 ） days, （9.21±1.84） days respectively, were shorter than those in the control group （P〈0.05）. The postoperative weight loss of the observation group [（1.25±0.41） kg] was lower than that of the control group, and the contents of ALB [（38.17±3.06） g/L],TRF [（219.56±45.63） mg/dl], and PALB [（190.33±20.36） mg/L] were higher than those of the control group （P〈0.05）. There was no statistically significant difference in the incidence of adverse reactions between the two groups （P〉0.05）. Conclusion Enteral nutritional support under the concept of enhanced recovery after surgery could accelerate the recovery of gastrointestinal function in patients during the perioperative period from hepatobiliary surgery, enhance the nutritional status of the body, and reduce gastrointestinal discomfort, with good prognosis.

关 键 词：肝胆外科 加速康复外科理念 肠内营养支持 营养状态 

分 类 号：R473.6[医药卫生—护理学]