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| 手术后经空肠造口管早期肠内营养病人的耐受性分析 | |
| 引用本文： | 李为明,徐鹏远,岑云云,陈雄志,刘剑,孙大力,戚宇星. 手术后经空肠造口管早期肠内营养病人的耐受性分析[J]. 肠外与肠内营养, 2009, 16(2) |
| 作者姓名： | 李为明 徐鹏远 岑云云 陈雄志 刘剑 孙大力 戚宇星 |
| 作者单位： | 昆明医学院第二附属医院干疗外科,云南昆明,650101 |
| 摘 要： | 目的:分析影响腹部手术后病人经空肠造口管EEN耐受性的相关因素.方法:对63例腹部术后病人经空肠造口管行EEN支持,观察其耐受性,并用Logistic多因素回归分析,探讨影响病人对EEN耐受性的相关因素.结果:63例病人中有45例(71.4%)能耐受EEN支持,18例(28.6%)不能耐受EEN支持.Logistic多因素回归分析显示:APACHE-Ⅱ评分、术后血清ALB、术中失血量和输血量,是影响病人术后EEN耐受性的因素(P<0.05).结论:腹部手术后病人经空肠造口管EEN耐受性良好.EEN支持的耐受性除与喂养方式有关外,还与疾病状态及其严重程度、血清ALB水平、术中失血量和输血量等因素相关. |
| 关 键 词： | 早期肠内营养 耐受性 针刺导管空肠造口术 |
Analysis of early enteral nutrition tolerance by postoperative jejunostomy |
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| LI Wei-ming,XU Peng-yuan,CEN Yun-yun,CHEN Xiong-zhi,LIU Jian,SUN Da-li,QI Yu-xing. Analysis of early enteral nutrition tolerance by postoperative jejunostomy[J]. Parenteral & Enteral Nutrition, 2009, 16(2) | |
| Authors: | LI Wei-ming XU Peng-yuan CEN Yun-yun CHEN Xiong-zhi LIU Jian SUN Da-li QI Yu-xing |
| Affiliation: | Department of General Surgery;Second Affiliated Hospital Kunming Medical College;Kunming 650101;Yunnan;China |
| Abstract: | Objective:To explore tolerance-related factors of early enteral nutrition by needle-catheter jejunostomy(NCJ)after abdominal surgery.Methods: 63 patients after major abdominal surgery were postoperative with early postoperative jejunal feeding.Tolerance of early enteral nutrition was judged.Tolerance-related factors of early enteral nutrition were analyzed by Multivariate logistic regression analysis.Results: Among the 63 patiens,45 patients(71.4%) could tolerate very well.18 patients(28.6%) couldn't tolera... |
| Keywords: | Early enteral nutrition Tolerance Needle catheter jejunostomy |
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