【摘要】 目的胃肠道术后肠外-肠内序贯营养支持与全肠外营养的研究分析。方法选取我院胃肠道手术患者120例,随机分为运用早期肠内营养、完全肠外营养、肠外营养-早期肠内营养三种不同模式进行营养支持,观察比较三种模式的营养支持效果、并发症以及肠屏障功能等情况。结果 PN-EN组受试者与TPN组和TEN组体重、HB、ALB、TFN、PA、肠源性细菌DNA、尿L/M等相关检测指标比较有明显差异(P<0.05),PN-EN组患者首次排气时间及住院时间均小于TPN组和TEN组。结论 PN-EN模式对胃肠道术后患者进行营养支持有利于术后患者营养水平的提高,改善患者术后的生活质量。更多还原

【Abstract】 Objective To study and analyze the nutrition of enteral and parenteral nutrition(PN) in total-sequential support with total parenteral nutrition after gastrointestinal surgery. Methods A total of 120 patients with gastrointestinal surgery in our hospital were randomly divided into three nutrition support modes of early EN,total PN and EN-early PN,effects,complications and intestinal barrier function of three modes were observed and compared. Results Correlative indexes such as body weight,HB,ALB,TFN,PA,enterogenous bacteria DNA,urine L/M and so on of PNEN group had significant differences with TPN group and TEN group(P<0.05),the first evacuation time and hospital time of PN-EN group were significantly lower than TPN group and TEN group. Conclusion Applying PN-EN mode in supporting nutrition for patients with gastrointestinal surgery can help to improve the nutrition level and life quality of paitents after surgery.更多还原