含膳食纤维肠内营养在肠外瘘病人的应用

目的；观察肠内营养对肠外瘘病人的疗效，以及含膳食纤维肠内营养对肠道习惯改变的作用。方法；对３１例肠外瘘病人随机分组，双盲研究，分为对照组，含单一ＤＦ组和含混合ＤＦ组。测定血生化，营养学指标及排便情况来反映营养支持效果及肠道习惯的改变。结果：显示ＥＮ在肠外瘘病人能达到营养支持目的，防治长期全肠外营养所致胆汁淤积。

Enteral nutrition supplimented with dietary fiber in patients with enterocutaneous fistula

Objectives:To observe the effect of enteral nutrition on patietns with enterocutaneous fistula,and the effect of dietary fiber on the defective habits. Methods:Thirty one patient with enterocutaneous fistula were randomly divided into control group,single type DF group and mixed DF group,blood chemistry,nutritional parameters and changes of defective habit were recovered. Results:EN was effective in improving the nutritional conditions of patients with EF and preventing cholestasis after long term TPN.Dietary fiber was effective in controlling diarrhea or constipation,mixed DF was more effective than single type. Conclusions:Enterla nutrition supplimented with DF was effective,safe and well tolerated by patietns with EF.