短肽型肠内营养制剂在妇科腹腔镜术前肠道准备中的应用

发布时间：2018-11-20 05:31

【摘要】：目的:探讨短肽型肠内营养(EN)制剂在妇科腹腔镜病人术前肠道准备的可行性和效果。方法:采用随机数字表法将纳入的100例病人随机分为2组,试验组(n=50)术前3天口服短肽型EN制剂作术前肠道准备;对照组(n=50)给予一般流质饮食和行机械肠道准备。比较两组术中医师对肠道准备的满意度,术后首次肛门排气时间,住院时间及营养相关指标。结果:试验组医师对肠道准备满意度显著高于对照组(90%vs 64%)(P0.01);试验组病人术后首次排气时间和住院时间较对照组明显缩短(P0.05);试验组病人白蛋白和血红蛋白水平较对照组显著升高(P0.01)。结论:短肽型EN制剂用于妇科腹腔镜术前肠道准备安全有效,有利于术后肠功能的恢复和病人营养状况的改善且缩短了术后住院时间,值得临床推广。
[Abstract]:Objective: to investigate the feasibility and effect of short peptide enteral nutrition (EN) preparation in patients with gynecological laparoscopy. Methods: a total of 100 patients were randomly divided into two groups: the experimental group (n = 50) received oral short peptide EN preparation 3 days before operation, the control group (n = 50) was given a general fluid diet and the mechanical bowel preparation. The degree of satisfaction with intestinal preparation, the first time of anal exhaust after operation, the time of hospitalization and the related nutritional indexes were compared between the two groups. Results: the patients' satisfaction with intestinal preparation in the trial group was significantly higher than that in the control group (90%vs 64%) (P0.01), the first exhaust time and hospitalization time of the patients in the trial group were significantly shorter than those in the control group (P0.05). The levels of albumin and hemoglobin in the trial group were significantly higher than those in the control group (P 0.01). Conclusion: short peptide EN is safe and effective in the preparation of intestinal tract before gynecological laparoscopy, which is beneficial to the recovery of intestinal function and the improvement of nutritional status of patients after operation and shortens the hospitalization time after operation. It is worth popularizing in clinic.
【作者单位】：黄河三门峡医院临床营养科;郑州大学基础医学院;黄河三门峡医院妇科;
【分类号】：R459.3;R713

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