首页|早期肠内营养对肝胆外科术后患者胃肠功能恢复的效果分析

早期肠内营养对肝胆外科术后患者胃肠功能恢复的效果分析

扫码查看
目的:分析早期肠内营养对于肝胆外科术后患者的胃肠功能恢复的效果.方法:选取 2022 年 3 月—2023 年 2月厦门大学附属中山医院接收的肝胆外科治疗的 82 例患者作为研究对象,采取随机摸球方式分为对照组和观察组,每组各41 例.对照组给予常规的术后营养支持,观察组给予早期的肠内营养支持,分析干预后的临床效果、营养指标、胃肠功能恢复情况.结果:干预后,观察组总有效率为 97.56%,对照组为 85.37%,得出观察组的临床总有效率高于对照组,且观察组的营养指标预后营养指数(PNI)、前白蛋白(PA)、血清白蛋白(ALB)指标改善程度更优于对照组,差异有统计学意义(P<0.05);在胃肠功能恢复方面,观察组的术后首次肛门排气、肠鸣音恢复时间、首次进食时间和住院用时更短于对照组,差异有统计学意义(P<0.05);干预前,两组的PNI、PA、ALB营养指标比较,差异无统计学意义(P>0.05).结论:在肝胆外科术后实施早期肠内营养干预,能促进患者的术后胃肠功能恢复,缩短住院时间,改善营养状态,干预效果安全可靠.
Analysis of the Effect of Early Enteral Nutrition on Gastrointestinal Function Recovery of Patients after Liver and Gallbladder Surgery
Objective:To analyze the effect of early enteral nutrition on gastrointestinal function recovery of patients after hepatobiliary surgery.Method:A total of 82 patients receiving hepatobiliary surgery treatment in Zhongshan Hospital Affiliated to Xiamen University from March 2022 to February 2023 were selected as the study objects and randomly divided into two groups,with 41 patients in each group.The control group received routine postoperative nutritional support,while the observation group received early enteral nutritional support.The clinical effects,nutritional indicators and gastrointestinal function recovery after the intervention were analyzed.Result:After the intervention,the total effective rate of the observation group was 97.56%,while the control group was 85.37%.It was found that the total clinical effective rate of the observation group was higher than that of the control group.In addition,the nutritional indexes prognostic nutritional index(PNI),prealbumin(PA)and serum albumin(ALB)in the observation group were better than those in the control group.The difference was statistically significant(P<0.05).In terms of gastrointestinal function recovery,the observation group had shorter postoperative first anal exhaust,bowel sound recovery time first meal time,and hospitalization time than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in PNI,PA and ALB between the two groups before intervention(P>0.05).Conclusion:Early enteral nutrition intervention after liver and gallbladder surgery can promote postoperative gastrointestinal function recovery,shorten hospitalization time,improve nutritional status,and have a safe and reliable intervention effect.

Early enteral nutritionHepatobiliary surgeryGastrointestinal function recoveryClinical effects

何亭华、伍建辉、蔡风芬、陈雪娇

展开 >

厦门大学附属中山医院 福建 厦门 361003

早期肠内营养 肝胆外科术 胃肠功能恢复 临床效果

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(24)