贵州医科大学学报

2012, v.37;No.159(06) 645-647

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不同肠道营养方式对腹部手术后胃瘫综合征的疗效
Comparison of Curative Effects among Different Enteral Nutrition Ways on Gastroparesis Syndrome after Abdominal Surgery

崔哲铭;曲延生;张德巍;谢强;姜晓峰;
CUI Zheming1,QU Yansheng2,ZHANG Dewei1,XIE Qiang1,JIANG Xiaofeng3(1.Department of Emergency Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032, Liaoning,China;2.Burn Department,the First Affiliated Hospital of China Medical University,Shenyang 110001,Liaoning,China;3.Department of Hepatobiliary Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,Liaoning,China)

摘要(Abstract):

目的:探讨不同肠道营养方式对腹部手术后胃瘫综合征的疗效。方法:收集腹部手术后出现胃瘫综合征患者35例的临床资料,其中单纯进行全肠外营养(TPN)的患者13例,经过TPN 1周左右后改为肠内营养(EN)的患者10例,单纯进行EN的患者12例,对比分析三组患者治疗前、治疗1周及治疗2周时体重(BW)、总蛋白(TP)、白蛋白(ALB)、胃肠减压量以及胃瘫治愈所需时间。结果:单纯EN组患者营养指标、胃肠减压量以及胃瘫恢复所需时间均优于单纯TPN组和TPN+EN组患者。结论:肠内营养维持了肠道功能,加快了胃瘫恢复。
Objective: To explore the curative effects of different enteral nutrition ways on gastroparesis syndrome after abdominal surgery.Methods: Clinical data of 35 patients with gastroparesis syndrome after abdominal surgery were collected.Thirteen cases of them were treated with total parenteral nutrition(TPN),10 cases were treated with TPN for 1 weeks and then changed to enteral nutrition(EN),12 cases were only treated with EN.Body weight(BW),total protein(TP),albumin(ALB),the gastrointestinal decompression amount,and time needing for gastroparesis cure of patients in the three groups before treatment,in 1 week and 2 week after treatment were compared.Results: The parameters mentioned above of patients in EN group were superior to simple TPN group or TPN for 1 week changed to EN group.Conclusions: EN can maintain intestinal function,speed up the stomach paralysis restore and deserve clinical expansion.

关键词(KeyWords): 全胃肠外营养;胃瘫综合征;手术后期间;腹部
parenteral nutrition,total;gastroparesis syndrome;postoperative period;abdominal

Abstract:

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作者(Authors): 崔哲铭;曲延生;张德巍;谢强;姜晓峰;
CUI Zheming1,QU Yansheng2,ZHANG Dewei1,XIE Qiang1,JIANG Xiaofeng3(1.Department of Emergency Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032, Liaoning,China;2.Burn Department,the First Affiliated Hospital of China Medical University,Shenyang 110001,Liaoning,China;3.Department of Hepatobiliary Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,Liaoning,China)

DOI: 10.19367/j.cnki.1000-2707.2012.06.019

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