肝移植术后早期肠内营养支持的研究

目的 探讨肝脏移植术后早期肠内营养支持的价值。方法 将63例肝脏移植患者随机分为2组，实验组给予早期肠内营养（EN），对照组给予完全静脉营养（TPN），营养支持时间为1周，术后第8天观察患者的营养状况；比较2组患者肝功能的恢复情况；分析2组患者之间的营养支持费用和术后感染情况。结果 肝脏移植术后早期肠内营养支持比静脉营养更加有效改善患者的营养状况，可以促进患者的肝功能的恢复，并且可以显著减少患者术后的细菌和病毒感染的发生率。结论 肝移植早期肠内营养是比较便宜而且可行的TPN的替代方法。

Early enteral nutritional support in patients of liver transplantation

Objective To evaluate early enteral nutrition in patients after liver transplantation. Methods This is a prospective, randomized trial consisting of 63 patients divided into two groups to receive TPN and early enteral nutrition respectively for a week. Patients' nutritional status, liver function, nutritional expense and the incidence of postoperative infections and other complications were compared between the two groups. Result Early enteral nutrition after liver transplantation can improve the nutritional condition and it is helpful for the recovery of the liver function. It decreases the rate of postoperative infections and other complications. Conclusions Early enteral nutritional support is feasible alternative to TPN in patients of liver transplantation.