早期肠内营养支持对胃肠术后患者胃肠功能恢复及生活质量的影响

摘要

目的：探讨早期肠内营养支持对胃肠术后患者胃肠功能恢复及生活质量的影响。方法选取2011年1月至2012年12月在武汉市新洲区人民医院进行胃肠手术的患者40例，依据随机数字表法分为观察组和对照组，各20例。观察组患者术后给予早期肠内营养支持治疗，对照组患者术后给予肠外营养支持治疗。比较两组患者术后胃肠功能恢复及生活质量情况。结果观察组术后肠鸣音恢复时间、肛门排气恢复时间均显著短于对照组[（19±4） h比（28±6） h；（32.2±2.1） h比（57.2±3.1） h]，差异均有统计学意义（P ＜0.01）。观察组术后生活质量优良率显著高于对照组[85.0％（17／20）比55.0％（11／20）]，差异有统计学意义（P＜0.05）。结论给予胃肠道术后患者早期肠内营养支持治疗，可以尽快恢复患者的肠胃功能，并显著提高术后生活质量。%Objective To investigate the effect of early enteral nutrition after gastrointestinal operation support on the recovery of gastrointestinal function and the quality of life .Methods Total of 40 patients in Wuhan City Xinzhou District People′s Hospital from Jan.2011 to Dec.2012 receiving gastrointestinal opera-tion were included,and randomly divided into observation group of 20 cases,and control group of 20 cases. Early enteral nutrition treatment was given to the observation group,while parenteral nutrition support was given to the control group.The recovery of gastrointestinal function and quality of life were compared in the two groups.Results Postoperative recovery time of bowel sound and anal exhaust recovery time of the obser-vation group were significantly faster than the control group[(19 ±4) h vs (28 ±6) h;(32.2 ±2.1) h vs (57.2 ±3.1) h,P<0.01].The postoperative quality of life the excellent and good rate of the observation group was significantly higher than that of control group[85.0%(17/20) vs 55.0%(11/20), P<0.05]. Conclusion Early enteral nutritional support after gastrointestinal operation , can recover gastrointestinal function soon,and significantly improve the quality of life after surgery .