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目的探讨肠内营养在腹部非胃手术后胃瘫综合征(GSNG)治疗中的作用及价值。方法选取72例GSNG患者,有30例采用静脉营养(PN组),42例施行肠内营养(EN组)。比较2组患者胃肠减压量、胃动力恢复时间、术后体质量减轻数、日均医疗费用及并发症发生情况。结果 EN组治疗第7天及第14天后患者胃肠减压量均低于PN组,胃动力恢复时间短于PN组,日均医疗费用少于PN组,术后体质量少于PN组,差异均有统计学意义(P<0.05)。PN组治疗期间发生急性胆囊炎2例;深静脉导管感染1例,经拔除静脉导管,抗感染治疗后痊愈;发生高血糖1例。EN组治疗早期出现腹胀、腹泻等症状3例,经减慢输注速度及加用止泻药后缓解。结论肠内营养能有效促进胃动力恢复,改善机体营养状况,并发症少,费用低廉,是治疗GSNG的有效手段。
Objective To investigate the role and value of enteral nutrition in the treatment of gastroparesis syndrome (GSNG) after abdominal non-gastric surgery. Methods 72 patients with GSNG were enrolled. Thirty patients received intravenous nutrition (PN group) and 42 patients received enteral nutrition (EN group). Gastrointestinal decompression, gastric motility recovery time, postoperative weight loss, average daily medical costs and complications were compared between the two groups. Results The gastrointestinal decompression volume of EN group was lower than PN group on the 7th day and 14th day after treatment. The recovery time of gastric motility was shorter than that of PN group, the average daily medical cost was less than that of PN group, the postoperative body weight was less than that of PN group, The differences were statistically significant (P <0.05). In the PN group, acute cholecystitis occurred in 2 cases during treatment; in 1 case of deep venous catheter infection, the patient was cured after anti-infection by pulling the vein catheter; 1 case had hyperglycemia. In the EN group, there were 3 symptoms such as abdominal distension and diarrhea in the early stage of treatment, which were relieved by slowing the infusion rate and adding antidiarrheal drugs. Conclusion Enteral nutrition can effectively promote the recovery of gastric motility, improve the nutritional status of the body, with fewer complications and lower costs, and is an effective treatment for GSNG.