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目的:比较不同肠内营养(EN)乳剂在中老年糖尿病病人胃肠道手术后早期应用的效果。方法:选择中老年糖尿病胃肠道手术病人60例,随机分为三组,瑞代组(n=22),瑞素组(n=18),对照组(常规静脉输液,n=20)。瑞代组和瑞素组病人均采用EN输注泵输注。测定EN支持前、后病人的营养指标、血糖以及观察术后并发症。结果:术后肛门恢复排气时间瑞代组、瑞素组明显早于对照组(P<0.05),且未出现急性机械性肠梗阻、肠瘘和代谢性并发症等。瑞代组和瑞素组病人的体重、血清总蛋白和清蛋白明显高于对照组(P<0.05)。与瑞素组比较,瑞代组病人的血糖波动较小(P<0.05),更易于控制。结论:中老年糖尿病病人行胃肠道手术后早期给予EN支持,有利于胃肠道功能的尽早恢复,能维持机体的营养状况。糖尿病专用配方更适用于血糖的控制。
OBJECTIVE: To compare the effect of different enteral nutrition (EN) emulsions in early stage after gastrointestinal surgery in middle-aged and elderly diabetic patients. Methods: Sixty elderly patients with gastrointestinal tract diabetes mellitus were enrolled and randomly divided into three groups: Ruidai group (n = 22), Reisu group (n = 18) and control group (n = 20). Ruidai and Reisu patients were enrolled in the infusion pump. Determination of EN support before and after the patient’s nutritional indicators, blood glucose and observe postoperative complications. Results: The exhaust time after anus recovery was significantly earlier in Ruide group and Ruisu group than in control group (P <0.05), and there was no acute mechanical obstruction, intestinal fistula and metabolic complications. The body weight, serum total protein and albumin of Ruidai group and Reisu group were significantly higher than those of control group (P <0.05). Compared with the Reis group, patients in the Ruidex group showed less fluctuation of blood glucose (P <0.05) and were easier to control. Conclusion: Middle-aged and elderly patients with diabetes mellitus receive EN support early after gastrointestinal surgery, which is conducive to the early recovery of gastrointestinal function and can maintain the nutritional status of the body. Diabetes-specific formula is more suitable for blood sugar control.