结直肠肛门外科2017，Vol.23Issue(4)：465-469,5.
肠内营养联合聚乙二醇在结直肠癌伴肠梗阻患者术前肠道准备中的应用效果
Effect of enteral nutrition combined with polyethylene glycol on bowel preparation for colorectal cancer patients with intestinal obstruction
摘要
Abstract
Objective To study the clinical effect of enteral nutrition combined with polyethylene glycol on preoperative intestinal preparation in colorectal cancer patients complicated with intestinal obstruction.Methods The clinical data of 80 colorectal cancer patients with intestinal obstruction treated in our hospital from October 2014 to October 2016 were analyzed retrospectively.According to preoperative bowel preparation,they weredivided into observation group (enteral nutrition combined with bowel preparation,n =40)and control group (treated with polyethylene glycol bowel preparation,n =40).Anorectal obstruction catheter,decompression irrigation and drainage were performed in the two groups.All patients were given enteral nutrition support after operation.The effect of intestinal cleaning was comparedbetween the two groups.The recovery of gastrointestinal function,complicationsand nutritional status were recorded in the two groups after operation.Results All the patients were successfully treated with intestinal obstruction,and there was no significant difference between the two groups in the effect of cleaning (P ＞ 0.05).The first exhaust time and defecation time of the observation group were significantly shorter than that of the control group,the difference was statistically significant (P ＜ 0.05).The total incidence of complications in the observation group was significantly lower than that in thecontrol group (P ＜ 0.05).The difference of serum total protein(STP),prealbumin(PA) and transferrin(TRF) between the two groups had no statistically significant (P ＞ 0.05).After 1 day and 1 week after operation,the levels of STP,PA and TRF in the control group were significantly lower than those before operation (P ＜ 0.05).The nutritional indexes of the observation group after 1 day were significantly lower than those before operation (all P ＜ 0.05),and there was no obviously difference between the indexes at 1 week and the preoperative (P ＞ 0.05).After 1 week,the indexes in the observation group were significantly higher than those in the control group,the difference was statistically significant (P ＜ 0.05).Conclusion Enteral nutrition combined with polyethylene glycol solution used for preoperative bowel preparation of the colorectal cancer patients with intestinal obstruction can gain a satisfactory intestinalcleaning effect was satisfactory,less postoperative complications,gastrointestinal function and fast recovery of nutritional status,which is helpful in the early rehabilitation after operation.关键词
结直肠癌伴肠梗阻/肠道准备/肠内营养/聚乙二醇Key words
colorectal cancer patients with intestinal obstruction/bowel preparation enteral nutrition/polyethylene glycol分类
医药卫生引用本文复制引用
朱州,钟晓刚,何艳..肠内营养联合聚乙二醇在结直肠癌伴肠梗阻患者术前肠道准备中的应用效果[J].结直肠肛门外科,2017,23(4):465-469,5.基金项目
广西壮族自治区卫生厅科研课题,编号:Z2010251 （）
