CAJ | 학술논문

目的：探讨早期肠内营养对肝胆手术患者胃肠功能的恢复效果。方法选取2010年6月～2013年6月我院收治的肝癌、肝血管瘤、肝硬化、门脉高压，共85例作为研究对象，随机分为研究组43例及对照组42例。比较两组患者的临床疗效，治疗前后胃肠功指标变化，包括血清白蛋白（ALB），前白蛋白（PA），预后营养指数（PNI）等功能指标。并对胃肠道功能改善时间和术后住院接受恢复治疗时间进行比较。结果研究组治疗后的ALB，PA及PNI皆明显高于对照组，两组比较，差异有统计学意义（P＜0.05）。研究组的胃肠道功能改善时间和术后住院接受恢复治疗时间明显短于对照组，两组比较，差异有统计学意义（P＜0.05）。研究组的总有效率为95.35%，明显高于对照组的83.33%，两组比较，差异有统计学意义（P＜0.05）。结论早期肠内营养对肝胆外科术后患者胃肠功能恢复影响有着积极作用，且给药方便、费用低廉，值得临床广泛推广。
목적：탐토조기장내영양대간담수술환자위장공능적회복효과。방법선취2010년6월～2013년6월아원수치적간암、간혈관류、간경화、문맥고압，공85례작위연구대상，수궤분위연구조43례급대조조42례。비교량조환자적림상료효，치료전후위장공지표변화，포괄혈청백단백（ALB），전백단백（PA），예후영양지수（PNI）등공능지표。병대위장도공능개선시간화술후주원접수회복치료시간진행비교。결과연구조치료후적ALB，PA급PNI개명현고우대조조，량조비교，차이유통계학의의（P＜0.05）。연구조적위장도공능개선시간화술후주원접수회복치료시간명현단우대조조，량조비교，차이유통계학의의（P＜0.05）。연구조적총유효솔위95.35%，명현고우대조조적83.33%，량조비교，차이유통계학의의（P＜0.05）。결론조기장내영양대간담외과술후환자위장공능회복영향유착적겁작용，차급약방편、비용저렴，치득림상엄범추엄。
Objective To explore the recovery effect of early enteral nutrition on gastrointestinal function of patients with hepatobiliaryoperation. Methods 85 patients of hepatoma, liver hemangioma, liver cirrhosis, portal hypertension in our hospital were all selected from 2010 June to 2013 June, and all patients were randomly divided into study group 43 cases andcontrol group of 42 cases. The clinical efficacy of two groups, gastrointestinal function indexes before and after treatment, including serum albumin(ALB), prealbumin(PA), prognostic nutritional index(PNI) and other functional indexes were all observed. At the same time, the the time of improve andoperation on gastrointestinal and function recovery after hospitalization time were all compared. Results ALB, PA and PNIof the study group after treatment were significantly higher than those in the control group(P < 0.05). Gastrointestinal functional of improve the time and postoperative hospitalization treatment time of study group were shorter than the control group(P < 0.05). The total efficiency of Research group was 95.35%, which was significantly higher than that in control group 83.33%(P < 0.05). Conclusion Early enteral nutrition has a positive effects on the recovery of gastrointestinal function after surgery and Department of hepatobiliary surgery, convenient administration, low cost, it is worthy of clinical application.