广州医药2024，Vol.55Issue(7)：786-790,5.DOI:10.3969/j.issn.1000-8535.2024.07.015
个体化肠内营养支持在胃肠术后早期应用的临床观察
Personalized enteral nutrition support in early-stage postoperative gastrointestinal surgery:A clinical observation
摘要
Abstract
Objective To investigate the feasibility and safety of personalized enteral nutrition support during the early postoperative period of gastrointestinal surgery.Methods A total of 100 patients who underwent gastrointestinal surgery at the Department of General Surgery,Bozhou Hospital of Traditional Chinese Medicine,who were enrolled in this study during January 2022 to December 2022.Patients were randomly allocated into either the observational or control group,with 50 patients in each group.The randomization was performed using a random number table.The observational group received personalized enteral nutrition support in addition to routine treatment for 7 days.The control group received standard postoperative care.Laboratory indicators were measured on the 7th postoperative day to compare recovery of gastrointestinal function between the two groups.Results The observational group exhibited a significantly shorter time to the first passage of flatus from the anus compared to the control group(55.41±19.63 h vs 81.46±19.39 h,P＜0.05),as well as higher prealbumin levels(241.14±65.73 g/L vs 217.35±51.63 g/L,P＜0.05).However,there were no significant differences between the two groups in terms of serum total protein levels(70.55±18.89 g/L vs 68.16±20.05 g/L),serum albumin levels(53.22±17.76 g/L vs 50.76±18.54 g/L),lymphocyte counts[(1.60±0.54)×109/L vs(1.56±0.55)×109/L],and time to the first defecation from the anus(89.67±22.31 h vs 97.77±21.27 h)(all P＞0.05).Conclusions Personalized enteral nutrition support based on individual conditions is safe and feasible in the early postoperative period of gastrointestinal surgery.It can promote the rapid recovery of gastrointestinal function and improve patients'nutritional status.关键词
胃肠手术/个体化/肠内营养Key words
gastrointestinal surgery/individuation/enteral nutrition引用本文复制引用
乔祥社,马陈建,苌喜,卞锐,郭攀华,赵宏久..个体化肠内营养支持在胃肠术后早期应用的临床观察[J].广州医药,2024,55(7):786-790,5.基金项目
亳州市重点研发计划(自筹经费)项目(BZZC2021058) （自筹经费）
