摘要
目的:探讨全胃切除术后,应用肠内营养制剂进行肠内营养的合理方法.方法:采用随机对照法将58例全胃切除术后患者随机分为对照组(能全力),实验组(能全力和百普力),经鼻肠管进行早期肠内营养,观察两组术后肠功能恢复排气时间,排便时间,腹胀,腹泻,恶心,呕吐以及吻合口瘘的发生.结果:所有患者均完成肠内营养治疗,无吻合口瘘发生.两组比较恢复排气时间,排便时间以及腹泻、恶心和呕吐无明显差异(P>0.05),对照组腹胀的发生率明显高于实验组差异显著(46.7%vs21.4%,P<0.05).结论:全胃切除术早期选用以小肠吸收为主的营养制剂(百普力),待肠功能恢复后再添加含有膳食纤维的营养制剂(能全力)更为合理.
AIM：To seek appropriate enteral nutrition methods for patients after total gastrectomy. METHODS：A total of 58 patients after total gastrectomy were included in this randomized controlled study.These patients were divided into control group（TPF）and experimental group （TPF＋SP）.Early enteral nutrition was achieved via a nasointestinal tube.Postoperatively,the time of first flatus and defecation,the incidence of digestive symptoms（including abdominal distension,diarrhea,nausea and vomiting）and the occurrence of anastomotic leakage were compared between the two groups.RESULTS： No anastomotic leakage was noted in all patients. No significant differences were observed in the time of first flatus and defecation, the incidence of diarrhea, nausea and vomiting, and the occurrence of anastomotic leakage between the two groups （all P 〉 0.05）. In contrast, the incidence of abdominal distension in the control group was significantly higher than that in the experimental group （46.7 % vs 21.4 %, P 〈 0.05）. CONCLUSION： Enteral nutrition preparations easily absorbed through the small intestine （e.g., SP） should be used for early enteral nutrition in patients after total gastrectomy. Preparations containing dietary fiber （e.g., TPF） should be replenished after the recovery of intestine function.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第21期2195-2197,共3页
World Chinese Journal of Digestology
关键词
肠内营养
全胃切除
肠内营养混悬液
Enteral nutrition
Total gastrectomy
Enteral nutritional suspension
作者简介
通讯作者：邹小明，教授，博士生导师，150086，黑龙江省哈尔滨市南岗区保健路246号．哈尔滨医科大学附属第二医院普外科zou4930@yahoo.com．cn电话：0451-86605126传真：0451-86605126
