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结肠穿孔致急性腹膜炎病人术后营养支持的临床研究
Clinical study of nutritional support in patients with acute peritonitis caused by colonic perforation
【摘要】 目的:比较急性结肠穿孔病人术后早期肠内营养(EEN)和全肠外营养(TPN)支持治疗对机体恢复和营养状态的效果,探讨急性结肠穿孔术后合适的营养支持治疗方法。方法:回顾性研究分析60例急诊手术的急性结肠穿孔病人,根据所给予的营养支持治疗方式的不同将所有病人分为EN+PN组和TPN组。对比两组病人的临床治疗效果。结果:EN+PN组治疗效果明显优于TPN组,且差异有显著性统计学意义(P<0.05)。结论:结肠穿孔术后EEN支持可改善病人的营养状态,加速病人康复,减少术后并发症。
【Abstract】 Objective: To investigate the effect of different postoperative nutritional support on the gastrointestinal function and nutritional status in acute colon peforation patients. Methods: 60 cases of acute emergency operation patients with perforation of the colon,according to the given nutritional support treatment of the different ways,were divided into enteral parenteral joint nutrition(EN + PN)group and total parenteral nutrition(TPN) group. Clinical therapeutic effects of two groups were compared. Results: The results of EN + PN group were significantly better than the those in TPN group(P < 0. 05). Conclusion: EN + PN model can improve the postoperative nutritional status and accelerate the recovery of patients with acute colonic perforation.
【Key words】 Perforation of the colon; Total parenteral nutrition; Enteral and parenteral joint nutrition;
- 【文献出处】 肠外与肠内营养 ,Parenteral & Enteral Nutrition , 编辑部邮箱 ,2017年03期
- 【分类号】R459.3;R656
- 【被引频次】2
- 【下载频次】152