早期肠内营养对胰十二指肠切除术后消化道功能的作用

发布时间：2018-11-01 10:59

【摘要】：目的：探讨胰十二指肠切除术后早期肠内营养对消化道功能恢复的影响；方法：回顾性分析2006-2013年吉林大学中日联谊医院肝胆胰外科行胰十二指肠切除术病例127例。根据术后是否留置肠内营养管并给予早期肠内营养分为肠内营养组82例和对照组45例。两组对比性别、年龄、观察是否给予肠内营养，开始给予肠内营养时间、给予成分及剂量，患者术后排气、排便时间，术后住院时间长短，，并行统计学分析。结果：肠内营养组比较性别、年龄无明显差异（P0.05），肠内营养组和对照组开始排气、排便时间比较,P0.001，该差异有统计学意义。肠内营养组和对照组术后住院天数的比较P=0.004差异有统计学意义术后开始给予肠内营养时间与开始排气、排便时间相关性分析，P0.001，差异有统计学意义，此回归方程可建立。术后开始给予肠内营养时间与术后住院时间相关性分析P=0.001，差异有统计学意义，即此回归方程可建立。肠内营养组不同术后给予肠内营养量与开始排气时间相关性分析，P=0.3190.05，即差异无统计学意义。与排便时间相关性分析，P=0.4620.05，即差异无统计学意义。结论：胰十二指肠切除术后早期肠内营养对术后消化道功能恢复具有积极促进作用。
[Abstract]:Objective: to investigate the effect of early enteral nutrition on the recovery of digestive tract function after pancreaticoduodenectomy. Methods: a retrospective analysis of 127 cases of pancreaticoduodenectomy in the Department of Hepatobiliary and Pancreatic surgery, Sino-Japanese Friendship Hospital of Jilin University from 2006 to 2013 was performed. According to the retention of enteral nutrition tube and early enteral nutrition after operation, 82 cases of enteral nutrition group and 45 cases of control group were divided into two groups: enteral nutrition group (n = 82) and control group (n = 45). Sex and age were compared to observe whether enteral nutrition should be given, the time of enteral nutrition, the dosage and composition of enteral nutrition, the time of exhaust and defecation after operation, the length of hospital stay after operation, and the statistical analysis were carried out. Results: there was no significant difference in sex and age between the enteral nutrition group and the control group (P0.05). The time of venting and defecation between the enteral nutrition group and the control group was significantly different (P0.001). Comparison of postoperative hospitalization days between enteral nutrition group and control group there were statistically significant differences between the time of enteral nutrition and the time of beginning venting and defecation after operation (P 0.001), the difference was statistically significant. This regression equation can be established. Correlation analysis between the time of enteral nutrition and the length of hospitalization after operation (P0. 001), the difference was statistically significant, that is, the regression equation could be established. In the enteral nutrition group, the correlation between the enteral nutrition quantity and the time of beginning exhaust was 0.3190.05, that is, the difference was not statistically significant. There was no significant difference in the correlation between the time of defecation and the time of defecation (P < 0. 4620.05). Conclusion: early enteral nutrition after pancreaticoduodenectomy can promote the recovery of digestive tract function.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.5

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