中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
15期
77-78
,共2页
肠内营养%结直肠术%并发症%吻合口瘘
腸內營養%結直腸術%併髮癥%吻閤口瘺
장내영양%결직장술%병발증%문합구루
enteral nutrition%colorectal surgery%complication%anstomotic fistula
目的：观察结直肠疾病术后应用新型肠内营养剂百普力的临床效果及不良反应。方法将结直肠手术患者64例随机分为治疗组和对照组，各32例。对照组经外周静脉给予肠外营养，治疗组经鼻肠管给予肠内营养，治疗周期均为7 d。观察两组患者术后体重、营养状况、肠道功能恢复情况、并发症和不良反应，记录平均住院时间。结果治疗组患者体重、外周血淋巴细胞、血白蛋白、血浆前白蛋白均显著高于对照组（ P ﹤0.05），肛门排气时间、排便时间、平均住院时间均较对照组显著缩短（ P ﹤0.05），肠黏膜损伤发生率较对照组显著降低（ P ﹤0.05），且并未增加吻合口瘘风险。结论结直肠疾病术后早期肠内营养能有效改善患者术后营养不良状态，减少肠黏膜损害，促进肠道功能恢复，缩短住院时间，并不会增加吻合口瘘的风险。
目的：觀察結直腸疾病術後應用新型腸內營養劑百普力的臨床效果及不良反應。方法將結直腸手術患者64例隨機分為治療組和對照組，各32例。對照組經外週靜脈給予腸外營養，治療組經鼻腸管給予腸內營養，治療週期均為7 d。觀察兩組患者術後體重、營養狀況、腸道功能恢複情況、併髮癥和不良反應，記錄平均住院時間。結果治療組患者體重、外週血淋巴細胞、血白蛋白、血漿前白蛋白均顯著高于對照組（ P ﹤0.05），肛門排氣時間、排便時間、平均住院時間均較對照組顯著縮短（ P ﹤0.05），腸黏膜損傷髮生率較對照組顯著降低（ P ﹤0.05），且併未增加吻閤口瘺風險。結論結直腸疾病術後早期腸內營養能有效改善患者術後營養不良狀態，減少腸黏膜損害，促進腸道功能恢複，縮短住院時間，併不會增加吻閤口瘺的風險。
목적：관찰결직장질병술후응용신형장내영양제백보력적림상효과급불량반응。방법장결직장수술환자64례수궤분위치료조화대조조，각32례。대조조경외주정맥급여장외영양，치료조경비장관급여장내영양，치료주기균위7 d。관찰량조환자술후체중、영양상황、장도공능회복정황、병발증화불량반응，기록평균주원시간。결과치료조환자체중、외주혈림파세포、혈백단백、혈장전백단백균현저고우대조조（ P ﹤0.05），항문배기시간、배편시간、평균주원시간균교대조조현저축단（ P ﹤0.05），장점막손상발생솔교대조조현저강저（ P ﹤0.05），차병미증가문합구루풍험。결론결직장질병술후조기장내영양능유효개선환자술후영양불량상태，감소장점막손해，촉진장도공능회복，축단주원시간，병불회증가문합구루적풍험。
Objective To observe the efficacy and adverse reactions of new type enteral nutrition agent Baipuli applied in the patients of colorectal surgery. Methods 64 cases of colorectal surgery were randomly divided into the treatment group and the control group, 32 cases in each group. Parenteral nutrition was given via peripheral vein for 7 d in the control group. Enteral nutrition was given via nasointestinal tube for 7 d in the treatment group. The postoperative body weight, nutrition status, recovery situation of the intestinal function, complications and adverse reactions were observed in the two groups, and the average hospitalization time was recorded. Results The body weight, peripheral blood lymphocytes, blood albumin and plasma prealbumin in the treatment group were significantly higher than those in the control group( P ﹤ 0. 05), the anus exhaust time, defecation time and average hospital stay in the treatment group were significantly shortened compared with the control group ( P ﹤ 0. 05 ) , the occurrence rate of intesinal mucosal injury in the treatment group was decreased significantly compared with the control group( P ﹤ 0. 05) moreover without increasing the anastomotic fistula risk. Conclusion Early enteral nutrition in the patients of colorectal surgery can effectively improve the postoperative cacotrophy status, reduce intesinal mucosal injury, promote the recovery of intestinal function and shorten the hospitalization time without increasing the risk of anastomotic fistula.
