文档介绍:新生儿胃肠道手术后肠内、肠外营养支持治疗体会
【摘要】目的探讨新生儿胃肠手术后早期肠内营养和全肠外营养治疗效果。方法对本院2006年1月—2010年12月49例肠闭锁进行胃肠手术后新生儿进行回顾性分析,其中30例术后24h予肠内营养,另19例术后全肠外营养超过5天。结果早期肠内营养辅以肠外营养患儿在术后发生感染率、肠功能恢复时间、住院天数及费用方面明显优于全肠外营养。结论胃肠手术后新生儿早期肠内营养是安全可行的,它能使新生儿肠道功能更快恢复,并能减少并发症,降低住院费用。
【关键词】新生儿;肠内营养;肠外营养;胃肠手术
[Abstract]ObjectiveTo disguss the effect of therapeutic efficacy of early enteral bined parenteral nutrition versus parenteral nutrition after gastrointestinal cases fed with early enteral bined parenteral nutrition and 19 cases fed with total parenteral nutrition after gastrointestinal surgery from January 2006 to December 2010 were time of the recovery of bowel movement was 62 hours in TPN groups and 43 hours in the EN-PN groups. It was up to statistics significance. The length of stay was 19 days in TPN groups and 10 days in the EN-PN groups. It was up to statistics significance. The costs was RMB in TPN groups and RMB in the EN-PN groups. It has achieved statistics significance. Postoperative infection occurred in % patients fed enterally versus % fed parenterally. It reached statistics enteral bined parenteral nutrition after gastrointestinal surgery
is safe,simple,feasible and physiology,the recovery of bowel movement is quicker. It has plications and the costs is lower.
[Key words]infant;parenteral nutrition;ente