中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
4期
89-90
,共2页
肝切除%肠内营养治疗%加速康复%护理
肝切除%腸內營養治療%加速康複%護理
간절제%장내영양치료%가속강복%호리
Hepatectomy%Enteral nutritional support%Fast recovery%Nursing
目的 观察肝切除术后早期口服肠内营养制剂对患者术后康复的影响,探讨相应护理措施.方法 选择2010年6月至2011年6月接受肝切除术患者54例,采用前瞻性非随机对照的研究方法,分为肠内营养组和对照组,每组27例,肠内营养组术后早期经口进食肠内营养制剂[通用名:肠内营养混悬液(TP-MCT),商品名:康全甘,荷兰纽迪希亚公司].比较两组术后肠功能恢复时间、术后住院时间、术后并发症率和肝功能恢复情况.结果 两组术后肝功能恢复情况、并发症发生率比较差异未见统计学意义(P＞0.05);与对照组比较,肠内营养组的肠功能恢复加快,术后住院时间缩短,差异有统计学意义(P＜0.05).结论 肝切除术后早期经口营养支持治疗安全有效,可快速促进肝脏合成代谢,显著减少住院时间,促进康复.通过加强围术期的心理护理,术后加强护理与监测,可以保证肝切除术后早期肠内营养地顺利进行.
目的 觀察肝切除術後早期口服腸內營養製劑對患者術後康複的影響,探討相應護理措施.方法 選擇2010年6月至2011年6月接受肝切除術患者54例,採用前瞻性非隨機對照的研究方法,分為腸內營養組和對照組,每組27例,腸內營養組術後早期經口進食腸內營養製劑[通用名:腸內營養混懸液(TP-MCT),商品名:康全甘,荷蘭紐迪希亞公司].比較兩組術後腸功能恢複時間、術後住院時間、術後併髮癥率和肝功能恢複情況.結果 兩組術後肝功能恢複情況、併髮癥髮生率比較差異未見統計學意義(P＞0.05);與對照組比較,腸內營養組的腸功能恢複加快,術後住院時間縮短,差異有統計學意義(P＜0.05).結論 肝切除術後早期經口營養支持治療安全有效,可快速促進肝髒閤成代謝,顯著減少住院時間,促進康複.通過加彊圍術期的心理護理,術後加彊護理與鑑測,可以保證肝切除術後早期腸內營養地順利進行.
목적 관찰간절제술후조기구복장내영양제제대환자술후강복적영향,탐토상응호리조시.방법 선택2010년6월지2011년6월접수간절제술환자54례,채용전첨성비수궤대조적연구방법,분위장내영양조화대조조,매조27례,장내영양조술후조기경구진식장내영양제제[통용명:장내영양혼현액(TP-MCT),상품명:강전감,하란뉴적희아공사].비교량조술후장공능회복시간、술후주원시간、술후병발증솔화간공능회복정황.결과 량조술후간공능회복정황、병발증발생솔비교차이미견통계학의의(P＞0.05);여대조조비교,장내영양조적장공능회복가쾌,술후주원시간축단,차이유통계학의의(P＜0.05).결론 간절제술후조기경구영양지지치료안전유효,가쾌속촉진간장합성대사,현저감소주원시간,촉진강복.통과가강위술기적심리호리,술후가강호리여감측,가이보증간절제술후조기장내영양지순리진행.
Objective To investigate the effect of early administration of postoperative enteral nutritional support on the recovery of patients and the corresponding nursing interventions.Methods Fifty-four patients received hepatectomy from June 2010 to June 2011 were involved in a perspective randomized control trial.All these patients were divided into two groups,the enteral nutrition(EN) group and the control group,each with 27 patients.In the EN group,patients were given a kind of peroral enteral nutrition (adopted drag name:TP-MCT,trade name:Nutrison MCT,Nutricia,Netherland) at an early time after surgery.The gastrointestinal function,hospital stays,complications and recovery of liver function after surgery of the two groups were compared.Results There were no statistical differences between the two groups on the recovery of liver function and the complication rate(P ＞0.05).However,compared to the control group,the EN group showed faster recovery of gastrointestinal function and shorter hospital stay after surgery,with significant statistical differences (P ＜ 0.05).Conclusions Early administration of enteral nutritional support after hepatectomy is a safe way to accelerate anabolism of the liver,significantly shorten hospital stays and advances the recovery of patients.By enhancing perioperative mental nursing,postoperative care and monitoring,we can ensure a more successful postoperative enteral nutritional support.
