【摘要】 目的对生态营养应用于结直肠手术后患者治疗中的应用效果进行评价。方法32例结直肠中等以上手术的患者随机分为生态营养组和普通营养组,每组16例。术后3d给予相应的肠内生态营养或普通肠内营养后,分别对两组患者的营养状态指标、胃肠道症状、腹泻及腹泻评分、菌群比例、感染状况指标、免疫学指标等进行评价。结果①术后两组患者总腹胀天数/总观察天数(5/80vs17/80)、总腹痛天数/总观察天数(5/80vs17/80)的组间差异有统计学意义(P<0.05)。②两组患者总腹泻天数/总观察天数(2/80vs13/80)、总腹泻人数/总人数(1/16vs6/16)的组间差异有统计学意义(P<0.05);生态营养组术后第6d的腹泻评分低于普通营养组(13.25vs19.75,P<0.05)。③生态营养组患者术后菌群比例(杆菌/球菌)均比普通营养组高,其中术后第2次检测时(术后5～6d)菌群比例的组间差异有统计学意义(P<0.05)。④术后两组患者的营养状态指标、感染状况指标和免疫学指标的差异均无统计学意义。结论在结直肠术后患者治疗中应用生态营养可改善患者胃肠道症状;减轻腹泻严重程度;纠正菌群失调。更多还原

【Abstract】 Objective To investigate the effect of eco-nutrition on postoperative patients with colorectal diseases. Methods 32 patients undergoing the colorectal operation were randomized into the eco-nutrition enteral nutrition (EEN) group and the normal enteral nutrition (NEN) group. A series parameters, including gastrointestinal symptom, diarrhea and diarrhea score, intestinal flora ratio, inflammatory status markers, immune function markers et al., were measured before and after the operation. Results ① Compared with the NEN group, the EEN group had less days with getting flatulence and abdominal pain (P<0.05). At 6th day the EEN group had a less occurrence of flatulence and abdominal pain(P<0.05). ② The EEN group had less occurrences of diarrhea at the 6th day (P<0.05). In the EEN group, the total occurrences and days of diarrhea were lower than those in the NEN group (P<0.05), and the mean diarrhea scores were also lower at 6th day (P<0.05). ③ Intestinal flora ratios were higher in the EEN group at 6th day (P<0.05). Conclusion The eco-nutrition application to postoperative patients with colorectal diseases is beneficial in alleviating gastrointestinal symptom and diarrhea, and correcting intestine flora disturbance.更多还原