肠内、肠外营养对门静脉高压症患者术后恢复的影响

目的探讨肠内、肠外营养对门静脉高压症患者术后恢复的不同效果。方法将135例行贲门周围血管离断术的门静脉高压症患者随机分为肠内营养(EN)组、肠外营养(PN)组和对照组。术后分别行EN,PN营养支持和常规补液治疗,观察临床和实验室指标,以判断两种不同营养方式的治疗效果。结果EN,PN组患者的营养状态、免疫功能均获改善,两组之间无差异(P>0.05),但对肝功能的影响及腹腔感染发生率,EN组均明显低于PN组(P<0.05)。结论对门静脉高压症患者,术后肠内营养支持是一种更合适的营养支持方式。

Effects of EN and PN on postoperative recovery of patients with portal hypertension

Objective To evaluate the therapeutic effects of EN,PN support on postoperative recovery of (patients) with portal hypertension. Methods 135 patients with portal hypertension who underwent (esophagogastric) devasularization were randomly divided into three groups:EN,PN and control group. (Postoperatively), EN and PN nutritional support and routine fluid replacement therapy was respectively given to the 3 groups. Several clinical and laboratory parameters were studied in order to determine the therapeutic effect of the two different forms of nutrition.Results Nutritional status and immunological function of patients were improved in both EN and PN study groups but with no significant difference, while alterations in liver function and incidence of abdominal infection were higher in PN group. Conclusions EN is an optimal form of nutritional support for patients with portal hypertension after operation.