术后早期肠内营养和肠外营养对肠道手术预后的影响研究
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摘要
目的研究术后早期肠内营养和肠外营养对肠道手术患者预后效果的影响。方法选取2017年6月—2018年9月在浙江省舟山医院实施肠道手术治疗患者120例,将其分为对照组和试验组,各60例。对照组患者术后采用全肠外营养支持,试验组术后采用全肠内营养支持。比较两组患者术后营养指标和炎症指标,并比较两组术后恢复情况及住院费用。结果术后第7天,试验组体质指数(BMI)、清蛋白(ALB)、总蛋白(TP)、前清蛋白(PA)均高于对照组;C反应蛋白(CRP)、白介素6(IL-6)水平均低于对照组(P<0.05)。试验组排气时间、排便时间、住院时间均短于对照组,住院费用低于对照组(P<0.05)。结论术后早期肠内营养在肠道手术患者中的应用能有效促进其预后恢复效果,并缩短住院时间,具有较高临床价值。
Objective To study the effect of early enteral nutrition and parenteral nutrition on the prognosis of patients undergoing intestinal surgery. Methods 120 patients who underwent intestinal surgery in Zhoushan Hospital from June 2017 to September 2018 were divided into control group and experimental group with 60 cases in each group. The patients in the control group received total parenteral nutrition support after operation, and the patients in the experimental group received total enteral nutrition support after operation. The nutritional indicators and inflammatory indicators of the two groups were compared. The recovery and hospitalization costs of the two groups were compared. Results The BMI, ALB, TP, PA of experimental group were higher than those in control group, and CRP, IL-6 were lower than those in control group(P<0.05). The exhaust time, defecation time, hospital stay of experimental group were shorter than those in control group, and hospitalization expenses of experimental group was less than those in control group(P<0.05). Conclusion The application of early enteral nutrition after operation in patients undergoing intestinal surgery can effectively improve the prognosis recovery effect and shorten the hospitalization time of patients, which has high clinical value.
Objective To study the effect of early enteral nutrition and parenteral nutrition on the prognosis of patients undergoing intestinal surgery. Methods 120 patients who underwent intestinal surgery in Zhoushan Hospital from June 2017 to September 2018 were divided into control group and experimental group with 60 cases in each group. The patients in the control group received total parenteral nutrition support after operation, and the patients in the experimental group received total enteral nutrition support after operation. The nutritional indicators and inflammatory indicators of the two groups were compared. The recovery and hospitalization costs of the two groups were compared. Results The BMI, ALB, TP, PA of experimental group were higher than those in control group, and CRP, IL-6 were lower than those in control group(P<0.05). The exhaust time, defecation time, hospital stay of experimental group were shorter than those in control group, and hospitalization expenses of experimental group was less than those in control group(P<0.05). Conclusion The application of early enteral nutrition after operation in patients undergoing intestinal surgery can effectively improve the prognosis recovery effect and shorten the hospitalization time of patients, which has high clinical value.
引文
[1]裴祺,李伟东,杨益.快速康复护理对肠道手术患者手术疗效及预后的影响[J].实用临床护理学电子杂志,2018,3(9):68.
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[7]LAPTHORNE S,BINES J E,FOUHY F,et al.Changes in the colon microbiota and intestinal cytokine gene expression following minimal intestinal surgery[J]. World J Gastroenterol,2015,21(14):4150-4158.
[8]HATAMIE S,AHADIAN M M,GHIASS M A,et al.Graphene/cobalt nanocarrier for hyperthermia therapy and MRI diagnosis[J].Colloids Surf B Biointerfaces,2016,146:271-279.
[2]王宏刚,娄建国,王勇,等.术后早期肠内营养和肠外营养对肠道手术预后的影响[J].中国老年学杂志,2017,37(22):5640-5642.
[3]朱文博.直肠癌根治术后早期肠内营养的临床效果分析[J].疾病监测与控制,2017,11(9):745-746.
[4]邓艳妮.综合护理对肠道手术患者胃肠功能恢复的临床疗效观察[J].临床医学研究与实践,2016,1(27):184-185.
[5]杨淑青,黄昌琴,周红霞.快速康复护理在肠道手术后患者肠功能恢复过程中的影响作用分析[J].齐齐哈尔医学院学报,2016,37(14):1873-1874.
[6]陈小艳.围手术期护理干预在肠道手术患者中的应用效果分析[J].大家健康(学术版),2015,9(24):195-196.
[7]LAPTHORNE S,BINES J E,FOUHY F,et al.Changes in the colon microbiota and intestinal cytokine gene expression following minimal intestinal surgery[J]. World J Gastroenterol,2015,21(14):4150-4158.
[8]HATAMIE S,AHADIAN M M,GHIASS M A,et al.Graphene/cobalt nanocarrier for hyperthermia therapy and MRI diagnosis[J].Colloids Surf B Biointerfaces,2016,146:271-279.