经三腔二囊管行肠内营养在食管-胃底静脉曲张破裂出血患者中的应用

发布时间：2018-10-14 09:49

【摘要】：目的探讨经三腔二囊管行肠内营养(EN)在肝硬化食管-胃底静脉曲张破裂出血(GEVB)手术患者术前营养支持治疗中的作用及其安全性。方法选取准备行手术治疗的肝硬化GEVB患者30例作为研究对象;置入三腔二囊管压迫止血;冲洗吸引无出血后即经中心胃管行术前肠内营养(EN)2周;比较EN前后患者营养水平(三头肌皮褶厚度、上臂周径、白蛋白、前白蛋白)、肝功能(ALT、AST、TBIL)的变化;并观察分析EN后再出血情况及相关不良反应。结果 EN后,患者营养状况明显改善(P0.05),而对肝功能则无显著影响(P0.05)。肠内营养期间患者耐受良好,未发生严重不良反应,患者均顺利接受了手术。结论三腔二囊管不仅可用于GEVB的紧急止血,还可运用于该类患者止血后肠内营养支持治疗,且安全有效。
[Abstract]:Objective to investigate the effect and safety of enteral nutrition (EN) through three lumen and two capsule tube in patients with esophageal and gastric variceal hemorrhage (GEVB). Methods Thirty patients with GEVB of liver cirrhosis who were undergoing surgical treatment were selected as the study object, three lumen and two capsule tube were placed to stop bleeding, and the enteral nutrition (EN) was performed through the central gastric tube for 2 weeks after drainage and aspiration without bleeding. The changes of nutritional level (triceps skin fold thickness, circumference of upper arm, albumin, prealbumin) and liver function (ALT,AST,TBIL) were compared before and after EN, and the rebleeding after EN and related adverse reactions were observed and analyzed. Results after EN, the nutritional status of the patients improved significantly (P0.05), but the liver function was not significantly affected (P0.05). The patients were well tolerated during enteral nutrition and had no serious adverse reactions. Conclusion Three-lumen and two-capsule tube can be used not only for emergency hemostasis of GEVB, but also for enteral nutrition support after hemostasis, and it is safe and effective.
【作者单位】：九江学院临床医学院/附属医院肝胆外科;
【基金】：江西省卫生厅科技计划项目(编号:20157079)
【分类号】：R575.2

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