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肝部分切除术后早期肠内营养治疗的临床研究
引用本文:方仕,麦海妍,卢味,卓淑雨,叶艳彬,赖佳明. 肝部分切除术后早期肠内营养治疗的临床研究[J]. 肠外与肠内营养, 2010, 17(5)
作者姓名:方仕  麦海妍  卢味  卓淑雨  叶艳彬  赖佳明
作者单位:1. 中山大学附属第一医院营养科,广东广州,510080
2. 中山大学附属第一医院肝胆外科,广东广州,510080
基金项目:国家"十一·五"科技支撑计划项目资助 
摘    要:
目的:前瞻性观察肝部分切除术后使用早期肠内营养(EEN)和肠外营养(PN)治疗对病人术后恢复的影响。方法:将78例接受肝部分切除手术的病人随机分为研究(EEN)组35例和对照(TPN)组43例。分别于术后24 h开始,连续给予等热量和等氮营养治疗,共7 d。结果:两组病人手术前后肝功能和临床营养指标均无显著性差异。EEN组术后第7天肝功能和前清蛋白均已恢复到术前水平,而且术后胃肠蠕动功能恢复较快,平均营养费用明显低于TPN组,营养相关并发症的程度轻微。结论:肝部分切除术后EEN支持,有利于促进肝蛋白质合成,改善病人的消化功能和营养状况。

关 键 词:肠内营养  肠外营养  肝切除术  营养治疗

Early postoperative enteral nutrition therapy after hepatectomy:A prospective randomized study
FANG Shi,MAI Hai-yan,LU Wei,ZHUO Shu-yu,YE Yan-bin,LAI Jia-ming. Early postoperative enteral nutrition therapy after hepatectomy:A prospective randomized study[J]. Parenteral & Enteral Nutrition, 2010, 17(5)
Authors:FANG Shi  MAI Hai-yan  LU Wei  ZHUO Shu-yu  YE Yan-bin  LAI Jia-ming
Affiliation:FANG Shi1,MAI Hai-yan1,LU Wei1,ZHUO Shu-yu1,YE Yan-bin1,LAI Jia-ming2(1.Department of Nutrition,2.Department of Hepatobiliar Surgery,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,Guangdong,China)
Abstract:
Objective: To observe the impacts of early eternal nutrition(EEN) and total parenteral nutrition(TPN) on patients after receiving hepatectomy.Methods: 78 patients undergoing liver resection were randomized prospectivly into 2 groups: EEN group(n=35) and TPN group(n=43).The two groups received nutritional formulas with isocalorie and isonitrogen after operation for 7 days. Results: In two groups,there was no death.No significant difference was found in liver function and clinic nutritional variables between ...
Keywords:Enteral nutrition  Parenteral nutrition  Hepatectomy  Nutrition therapy  
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