胰十二指肠切除术后的营养支持

目的比较胰十二指肠切除术(PD)后,肠内营养(EN)和肠外营养(PN)费用效果比。方法随机将我院2000年6月至2006年6月PD75例分为EN组(35例)和PN组(40例);营养支持均从术后24h开始。两组采用等热量、等氮量方案,对比两组患者术后营养状况变化、并发症发生率以及营养支持费用。结果PD后EN和PN均能改善患者的营养状态。EN组较PN组术后平均住院时间短、并发症发生率低,但差异无统计学意义(P>0.05);EN组营养支持费用少于PN组,差异有统计学意义(P<0.05)。结论PD术后EN较PN安全可靠且费用低廉,EN是PD患者营养支持的首选方案。

Nutrition support after pancreatoduodenectomy

Objective To evaluate the cost-effectiveness between enteral nutrition(EN)and parenteral nutrition(PN)after pancreatoduodenectomy.Methods 75 patients underwent pancreatoduodenectomy in our hospital between June 2000 to June 2006.All the patients were randomly divided into EN group(35 cases)and PN group(40 cases).The program of isonitrogenous and isocaloric intake was taken in either group.The change of nutrition condition,the rate of complications and the nutrition cost in both groups were compared.Results Both EN and PN could improve nutrition condition.The average stay and the rate of complications in EN group were less than those in PN group,but there was no significant differences between two groups(P>0.05).The mean cost of EN group was significantly less than that of PN group(P<0.05).Conclusion EN support as well as PN support can improve the nutrition condition of patients undergoing pancreatoduodenectomy,and EN is safe and cheap.