摘要
摘要目的探析应用早期肠内营养对肝胆外科手术患者在术后胃肠功能恢复情况的临床效果.方法前瞻性选择我院肝胆外科于２０１４年２月~２０１５年１月收治的１００例腹部手术患者,按随机方法分为２组,对照组采用肠外营养模式,研究组采用早期肠内营养模式,观察两种营养支持模式的效果,对胃肠功能恢复的影响.结果两组患者ALB、PA指标水平均高于支持前指标水平,且研究组指标水平升高程度比对照组指标水平更为显著(p＜０．０５),经７d治疗,研究组显效率、有效率和总有效率分别为３８．００％、５０．００％和８８．００％明显高于对照组的２０．００％、３０．００％和５０．００％,差异有统计学意义(P＜０．０５),研究组患者首次肛门排气时间、恢复排便时间均明显快于对照组时间(P＜０．０５).结论肝胆外科患者在术后针对胃肠道功能的恢复采用早期肠内营养模式临床效果非常显著.关键词早期肠内营养;肝胆外科手术;胃肠道功能EarlyEnteralnutritiononpostoperativerecoveryofgastrointestinalfunctioninpatientswithHepatobiliarysurgeryclinicalresearchHuBin,TaiYunxiang,JiangChenglu(LiangshanYiAutonomousPrefecture,thefirstpeople＇sHospital,Xichang,Sichuan,６１５０００,China)AbstractObjectiveToinvestigatetheclinicaleffectofearlyenteralnutritiononthehepatobiliarysurgicalpatientsinthepostoperativerecoveryofgastroＧintestinalfunction．MethodsChose１００casesofabdominalsurgerypatientsadmittedinFebruary２０１４－January２０１５inHepatobiliarySurgeryofourhospital,thendividedinto２groupsrandomly．Thecontrolgroupwasadoptedparenteralnutritionmode,andtheStudyGroupwasadoptedearlyenteralnutritionmode,thenobservedtheeffectofthetwonutritionalsupportmodesonrecoveryofgastrointestinalfunction．ResultsTheALBandPAleveloftwogroupswerehigherthanthelevelbeforenutritionsupported,andcomparedwiththecontrolgroup,theALBandPAlevelincreasedsignificantlyinstudygroup(p＜０．０５)．After７daystreatment,themarkedlyefficiency,efficiencyandtotalefficiencywere３８．００％,５０．００％and８８．００％instudygroup,whichwassignificantlyhigherthanthe２０．００％,３０．００％and５０．００％incontrolgroup,andthedifferencewasstasticallysignificant(p＜０．０５)．Thefirstflatustime,bowelrecoverytimeinstudygroupweresignificantlylowerthanthatincontrolgroup(p＜０．０５)．ConclusionTheclinicaleffectisverysignificantthathepatobiliarysurgicalpatientsadoptedearlyenＧteralnKuetryitwioonrdsmodepostoperativefortherecoveryofgastrointestinalfunction．Earlyenteralnutrition;Hepatobiliarysurgery;Gastrointestinalfunction中图分类号R６５６文献标识码B文章编号１００１－５３０２(２０１５)０９－０６９８－０２
出版日期
2015年09月19日（中国期刊网平台首次上网日期，不代表论文的发表时间）
