肠外肠内营养在胃瘫早期的联合应用

目的:探讨肠外、肠内营养联合应用在胃瘫综合征(PGS)早期治疗中的作用.方法:将22例病人分为单纯肠外营养(PN组)8例,肠外、肠内营养联合应用(联合组)14例,比较两组病人的体温、白细胞、血糖、总胆汁酸、碱性磷酸酶五项指标在1周内及1周以上的变化.结果:治疗1周内两组平均阳性率无显著性差异,1周后肠外营养组平均阳性率高达62.5%,而联合组仅为27%.结论:在PGS早期治疗中,肠外、肠内营养联合应用能减少肠内营养的不良反应,缩短PGS的治疗过程,降低并发症发生率.

Application of combination of parenteral nutrition and enteral nutrition in early treatment of postsurgical gastroparesis syndrome

Objective: To determint the effects of combination of parentral nurition(PN) with enteral nutrition(EN) in the early treatment of patients with postsurgical gastroparesis syndrome(PGS). Methods: Eight cases of PGS recieved only PN. Fourteen cases of PGS recieved the combination of PN with EN. The changement of temperature, WBC, GLU, TBA and ALP in the two groups of the patients was observed for more than one week. Results: The average positive rates between the two groups were not significantly different within one week. After one week, the average positive rate in PN group was 62.5% and 27% in PN EN group. Conclusions: In the early treatment of PGS, application of combination of PN and EN can shorten the duration and decrease the complications of PN.