肠内营养预防胰头十二指肠切除术后胃瘫的应用研究  

Effect of the enteral nutrition in preventing gastroparesis after pancreaticoduodenectomy

作　　者：万百顺 张玲 贺涛 王效谦 钱相君 WAN Bai-shun;ZHANG Ling;HE Tao;WANG Xiao-qian;QIAN Xiang-jun(Department of Hepatobiliary and Pancreatic Surgery,The Affiliated Tumor Hospital of Zhengzhou University,He＇nan Province Tumor Hospital,Zhengzhou He＇nan 450008,Chin)

机构地区：[1]郑州大学附属肿瘤医院,河南省肿瘤医院肝胆胰腺外科,河南郑州450008

出　　处：《蚌埠医学院学报》2018年第7期885-886,891,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨肠内营养对预防胰头十二指肠切除术后病人胃瘫综合征的作用。方法:对1 847例胰头十二指肠切除术后病人分别给予全肠外营养治疗(917例)和肠外营养联合肠内营养治疗(930例)。比较2组术后胃瘫综合征的发生率及恢复时间。结果:联合肠内营养组胃瘫的发生率1.6%,显著低于全肠外营养组的4.4%(P<0.01);联合肠内营养组胃瘫的恢复时间为(9.6±3.3)d,显著短于全肠外营养组的(24.2±4.5)d(P<0.01)。结论:肠外营养联合肠内营养比单纯肠外营养对术后胃肠功能恢复效果更好。Objective： To investigate the effects of enteral nutrition on preventing gastroparesis syndrome after pancreatoduodenectomy. Methods： Among 1 847 patients treated with pancreatoduodenectomy,917 cases were treated with total parenteral nutrition,and 930 cases were treated with parenteral nutrition combined with enteral nutrition. The incidence rate of postoperative gastroparesis syndrome and recovery time between two groups were compared. Results： The incidence rates of gastroparesis in total parenteral nutrition group（ 4. 4%） were significantly higher than that in parenteral nutrition combined with enteral nutrition group（ 1. 6%）（ P〈0. 01）. The recovery time of gastroparesis in total parenteral nutrition group[（ 24. 2 ± 4. 5） d] were significantly longer than that in parenteral nutrition combined with enteral nutrition group [（ 9. 6 ± 3. 3） d ]（ P〈0. 01）. Conclusions： The postoperative gastrointestinal function recovery of parenteral nutrition combined with enteral nutrition in the treatment of gastroparesis is better than that of parenteral nutrition.

关 键 词：胰头十二指肠切除术 肠内营养 胃瘫综合征 

分 类 号：R657.5[医药卫生—外科学]