【摘要】：目的： 探討胰十二指腸切除術(shù)后早期腸內(nèi)營養(yǎng)對消化道功能恢復(fù)的影響； 方法： 回顧性分析2006-2013年吉林大學(xué)中日聯(lián)誼醫(yī)院肝膽胰外科行胰十二指腸切除術(shù)病例127例。根據(jù)術(shù)后是否留置腸內(nèi)營養(yǎng)管并給予早期腸內(nèi)營養(yǎng)分為腸內(nèi)營養(yǎng)組82例和對照組45例。兩組對比性別、年齡、觀察是否給予腸內(nèi)營養(yǎng)，開始給予腸內(nèi)營養(yǎng)時(shí)間、給予成分及劑量，患者術(shù)后排氣、排便時(shí)間，術(shù)后住院時(shí)間長短，，并行統(tǒng)計(jì)學(xué)分析。 結(jié)果： 腸內(nèi)營養(yǎng)組比較性別、年齡無明顯差異（P0.05），腸內(nèi)營養(yǎng)組和對照組開始排氣、排便時(shí)間比較,P0.001，該差異有統(tǒng)計(jì)學(xué)意義。腸內(nèi)營養(yǎng)組和對照組術(shù)后住院天數(shù)的比較P=0.004差異有統(tǒng)計(jì)學(xué)意義術(shù)后開始給予腸內(nèi)營養(yǎng)時(shí)間與開始排氣、排便時(shí)間相關(guān)性分析，P0.001，差異有統(tǒng)計(jì)學(xué)意義，此回歸方程可建立。術(shù)后開始給予腸內(nèi)營養(yǎng)時(shí)間與術(shù)后住院時(shí)間相關(guān)性分析P=0.001，差異有統(tǒng)計(jì)學(xué)意義，即此回歸方程可建立。腸內(nèi)營養(yǎng)組不同術(shù)后給予腸內(nèi)營養(yǎng)量與開始排氣時(shí)間相關(guān)性分析，P=0.3190.05，即差異無統(tǒng)計(jì)學(xué)意義。與排便時(shí)間相關(guān)性分析，P=0.4620.05，即差異無統(tǒng)計(jì)學(xué)意義。 結(jié)論： 胰十二指腸切除術(shù)后早期腸內(nèi)營養(yǎng)對術(shù)后消化道功能恢復(fù)具有積極促進(jìn)作用。
[Abstract]:Objective: to investigate the effect of early enteral nutrition on the recovery of digestive tract function after pancreaticoduodenectomy. Methods: a retrospective analysis of 127 cases of pancreaticoduodenectomy in the Department of Hepatobiliary and Pancreatic surgery, Sino-Japanese Friendship Hospital of Jilin University from 2006 to 2013 was performed. According to the retention of enteral nutrition tube and early enteral nutrition after operation, 82 cases of enteral nutrition group and 45 cases of control group were divided into two groups: enteral nutrition group (n = 82) and control group (n = 45). Sex and age were compared to observe whether enteral nutrition should be given, the time of enteral nutrition, the dosage and composition of enteral nutrition, the time of exhaust and defecation after operation, the length of hospital stay after operation, and the statistical analysis were carried out. Results: there was no significant difference in sex and age between the enteral nutrition group and the control group (P0.05). The time of venting and defecation between the enteral nutrition group and the control group was significantly different (P0.001). Comparison of postoperative hospitalization days between enteral nutrition group and control group there were statistically significant differences between the time of enteral nutrition and the time of beginning venting and defecation after operation (P 0.001), the difference was statistically significant. This regression equation can be established. Correlation analysis between the time of enteral nutrition and the length of hospitalization after operation (P0. 001), the difference was statistically significant, that is, the regression equation could be established. In the enteral nutrition group, the correlation between the enteral nutrition quantity and the time of beginning exhaust was 0.3190.05, that is, the difference was not statistically significant. There was no significant difference in the correlation between the time of defecation and the time of defecation (P < 0. 4620.05). Conclusion: early enteral nutrition after pancreaticoduodenectomy can promote the recovery of digestive tract function.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R657.5

【參考文獻(xiàn)】

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1 顧晉,李明;胃十二指腸癌術(shù)后消化道功能障礙[J];中國實(shí)用外科雜志;2003年08期

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