双泵在胰腺癌合并糖尿病患者术后早期肠内营养中的应用

目的探讨双泵（肠内喂养泵＋胰岛素微泵）在胰腺癌合并糖尿病患者术后早期肠内营养（early enteral nutritio，EEN）中的应用价值。方法46例胰腺癌合并糖尿病患者，按人院先后随机分为实验组和对照组，实验组21例行早期肠内营养时应用双泵（复尔凯800肠内喂养泵，静脉胰岛素微泵），动态监测血糖变化，根据血糖值调整胰岛素用量，使血糖控制在一个相对正常范围，避免了血糖过度波动；对照组25例在恢复肛门排气后使用一次性输液器滴注肠内营养液，根据血糖值给予临时皮下注射胰岛素。检测并比较术前、术后7d血浆白蛋白、术前及营养结束后前白蛋白、平均住院日、总费用、并发症等。结果实验组血浆白蛋白下降值明显小于对照组（P〈0．05）、前白蛋白上升的数值明显大于对照组（P〈0．05），平均住院日、总费用也少于对照组（P〈0．05）。实验组并发症少于对照组，但无统计学意义（P〉0．05）。结论胰腺癌合并糖尿病患者术后早期肠内营养应用双泵，可以减少患者住院天数、降低住院总费用、减少并发症的发生，值得临床推广。

Application Research on Double Pump for Early Enteral Nutrition in Patients with Pancreatic Cancer Combined with Diabetes Mellitus

Objective To investigate the application of the double-pump in patients with pancreatic cancer combined with diabetes supported by early enteral nutrition (EEN).Methods Forty-six patients with pancreatic cancer combined with diabetes from Jan.2005 to Jan.2008 were randomly divided into the experimental group and the control group according to the hospitalization sequence.Twenty-one patients in the experiment group were given double pump(800 Fuerkai complex enteral feeding pumps,intravenous micro-injection i...