Clinical research of individualized enteral nutrition support in early application after gastrointestinal surgery
Objective To investigate the feasibility of individualized enteral nutrition support in early application after gastrointestinal surgery.Methods A total of 100 patients with gastrointestinal surgery admitted to the Department of General Surgery of Bozhou Hospital of Traditional Chinese Medicine from December 2021 to November 2022 were selected.The patients were assigned to the the control group and experimental group according to the random number table method,with 50 cases in each group.The control group was treated with conventional treatment after operation.While the experimental group was implemented with individualized enteral nutrition on the basis of conventional treatment,lasting for 7 days.The laboratory indices were detected on the 7th day after operation,and the recovery of gastrointestinal function was compared between the two groups.Results The first anal exhaust time in the experimental group after surgery was significantly shorter than that in the control group([55.41±19.63]h vs.[81.46±19.39]h),the levels of prealbumin were higher than those in the control group([241.14±65.73]g/L vs.[217.35±51.63]g/L),the levels of transferrin were higher than those in the control group([2.44±0.35]g/L vs.[2.18±0.43]g/L),the length of hospital stay was shorter than that in the control group([11.36±3.71]g/L vs.[13.52±3.63]g/L),the hospitalization costs were lower than those in the control group([1.97±0.36]million yuan vs.[2.19±0.49]million yuan),with statistically significant differences(P<0.05).There were no statistically significant differences in serum total protein level([70.55±18.89]g/L vs.[68.16±20.05]g/L),serum albumin level([53.22±17.76]g/L vs.[50.76±18.54]g/L),lymphocyte count([1.60±0.54]×109/L vs.[1.56±0.55]×109/L),and the first anal defecation time([89.67±22.31]h vs.[97.77±21.27]h)between the two groups(P>0.05).Conclusion It is feasible to implement individualized enteral nutrition support in the early stage after gastrointestinal surgery according to individual conditions,which can promote the rapid recovery of gastrointestinal function and improve the nutritional status of patients.
Gastrointestinal surgeryIndividualizationEnteral nutritionNutritional status