早期肠内营养对肝胆疾病术后病人胃肠功能恢复的影响

目的探讨肝胆疾病术后早期肠内营养对胃肠功能恢复的影响。方法选择肝胆疾病术后病人100例，随机分为观察组50例和对照组50例。观察组除常规护理外从术后第1天起循序渐进地给予肠内营养，而对照组于术后第3天起给予肠内营养。比较两组病人胃肠功能恢复情况。结果与对照组比较，观察组术后首次肛门排气、首次排便时间均早于对照组，术后腹胀发生率也低，腹泻的发生率无差异。结论肝胆疾病术后早期肠内营养可明显促进胃肠功能的恢复。

THE EFFECT OF EARLY ENTERAL NUTRITION ON RECOVERY OF GASTRO-INTESTINAL FUNCTION IN PATIENTS AFTER LIVER-AND-GALL SURGERY

Objective To evaluate the effect of early enteral nutrition （EN） on recovery of gastro-intestinal function in patients after hepatobiliary suegery. Methods This study consisted of 100 postoperative patients who were evenly divided into two groups. For patients in the experimental group, EN was gradually given from the first postoperative day in addition to routine care; for those in the control group, EN started from the 3rd postoperative day. The recovery of gastro-intestinal function was compared between the two groups. Results The first passage of gas by anus and defecation in patients in the experimental group were earlier than those in the control, and the incidence of abdominal distension was lower. There was no significant difference in terms of diarrhea between the two groups. Conclusion Early enteral nutrition can effectively improve gastro-intestinal function for patients undergoing hepatobiliary surgery.