江汉大学学报（自然科学版）

目的:探讨胃肠道手术围手术期营养支持的方法,并比较肠内与肠外营养的结果.方法:选择80例胃肠手术者,随机分为两组,进行肠内、肠外营养支持的比较观察.结果:两组病例中各项理化指标无明显差异(P>0.05),但肠外营养支持病例,术前与术后比较体重下降明显(P<0.05),总胆红素水平高于肠内营养支持组.结论:两种支持方式对胃肠术后病例都能改善营养状况,对降低蛋白质分解均有一定作用,但肠内优于肠外,营养支持对肝功能影响小,具有符合生理状态、完全有效、价廉等优点,在临床上有很好的应用价值.

Objctive:To investigate the methods of enteral nutrition given to the patients with gastro-intestinal tumor peri-operations stage,and compare the result between enteral nutrition and totalparenteral nutrition.Methods:80 patients after gastro-intestinal surgery were divided into two groups,respectively received enteral nutrition and totalparenteral nutrition.Results:There wereno pence,but enteral nutrition isbetter than totalparenteral nutrition,and had lesseffect in liver function,had advantage of no physical change,cheaper,can obtain very good value in clinic.