[1]郭俊龙,曹海鹰.早期肠内营养对肝移植患者术后肝功能恢复的影响[J].医学信息,2021,34(10):140-141.[doi:10.3969/j.issn.1006-1959.2021.10.040]
　GUO Jun-long,CAO Hai-ying.The Effect of Early Enteral Nutrition on the Recovery of Liver Function After Liver Transplantation[J].Medical Information,2021,34(10):140-141.[doi:10.3969/j.issn.1006-1959.2021.10.040]
点击复制

早期肠内营养对肝移植患者术后肝功能恢复的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年10期
页码:
140-141
栏目:
临床研究
出版日期:
2021-05-15

文章信息/Info

Title:
The Effect of Early Enteral Nutrition on the Recovery of Liver Function After Liver Transplantation
文章编号:
1006-1959（2021）10-0140-02
作者:
郭俊龙; 曹海鹰
（昆明医科大学附属甘美医院暨昆明市第一人民医院肝胆外科，云南 昆明 650000）
Author(s):
GUO Jun-long; CAO Hai-ying
(Department of Hepatobiliary Surgery,the Affiliated Ganmei Hospital of Kunming Medical University＆the First Hospital of Kunming,Kunming 650000,Yunnan,China)
关键词:
肝移植术; 肠内营养; 全肠外营养; 肝功能
Keywords:
Liver transplantation; Enteral nutrition; Total parenteral nutrition; Liver function
分类号:
R619+.9
DOI:
10.3969/j.issn.1006-1959.2021.10.040
文献标志码:
A
摘要:
目的 分析早期肠内营养对肝移植患者术后肝功能恢复的影响。方法 选择2017年1月~2020年12月我院收治的肝移植术后患者75例，根据不同营养方式分为术后全肠外营养组（TPN组）37例和术后早期肠内营养联合肠外营养组（EN+PN组）38例，比较两组术前1天、术后第1、3、5、7天肝功能检查（TP、ALB）变化。结果 EN+PN组术后第1天、术后第5、7天TP高于TPN组，差异有统计学意义（P＜0.05）；TPN组术前1天、术后第3天TP高于EN+PN组，但差异无统计学意义（P＞0.05）；EN+PN组术后第5天ALB水平高于TPN组，差异有统计学意义（P＜0.05）；TPN组术后第1、3、7天ALB水平高于EN+PN组，但差异无统计学意义（P＞0.05）。结论 肝移植术后患者EN+PN较TPN是更健康、更合理的营养支持方法，可促进术后肝功能恢复，因此，针对肝移植术后的患者，若无明显肠内营养禁忌症，应早期给予充分的肠内营养支持。
Abstract:
Objective To analyze the effect of early enteral nutrition on the recovery of liver function after liver transplantation.Methods 75 patients after liver transplantation admitted to our hospital from January 2017 to December 2020 were selected.According to different nutrition methods, they were divided into 37 cases in the postoperative total parenteral nutrition group (TPN group) and 38 cases in the early postoperative enteral nutrition combined with parenteral nutrition group (EN+PN group).The changes of liver function tests (TP, ALB) on the first day before operation and the first, third, fifth, and seventh day after operation were compared between the two groups.Results TP in EN+PN group was higher than TPN group on the first day, 5th and 7th day after operation, the difference was statistically significant (P＜0.05);The TP of the TPN group was higher than that of the EN+PN group on the first day and the third day after the operation, but the difference was not statistically significant (P>0.05);The ALB level of EN+PN group was higher than TPN group on the 5th day after operation, the difference was statistically significant (P=P＜0.05);The ALB level in the TPN group was higher than that in the EN+PN group at 1, 3, and 7 days after surgery, but the difference was not statistically significant (P>0.05).Conclusion EN+PN is a healthier and more reasonable nutritional support method for patients after liver transplantation than TPN, which can promote postoperative liver function recovery.Therefore, for patients after liver transplantation, if there is no obvious contraindication to enteral nutrition, adequate enteral nutrition support should be given early.

参考文献/References:

[1]姚运海,赵卫峰,甘建和.终末期肝病模型联合动脉血乳酸对乙型肝炎病毒相关慢加急性肝衰竭预后的评价:97例患者的回顾性分析[J].中华肝脏病杂志,2019,27(4):256-260.[2]陈栋.中国肝移植受者选择与术前评估技术规范(2019版)[J].中华移植杂志(电子版),2019,13(3):161-166.[3]罗姣,白源,李晓云,等.万古霉素血清谷浓度监测在终末期肝病患者肝移植术后的应用及临床意义[J].中国疗养医学,2019,28(9):89-90.[4]魏宝龙,王政禄,侯文,等.功能性热缺血时间对肝移植大鼠肝组织炎症细胞因子的影响[J].中华器官移植杂志,2019,40(3):170-174.[5]任征,王立成,汪海峡,等.术后早期肠内营养和肠外营养对肠道手术预后的影响研究[J].中国全科医学,2019,22(S1):137-139. [6]谌步云,吴杏梅,张鸿光,等.早期肠内-肠外联合营养对老年结直肠癌患者术后营养状况及免疫功能的影响[J].浙江医学,2019,41(2):49-52.

相似文献/References:

[1]王田乔.肠内营养在重症患者中的应用时机研究[J].医学信息,2018,31(01):42.[doi:10.3969/j.issn.1006-1959.2018.01.016]
　WANG Tian-qiao.Study on the Timing of Enteral Nutrition in Critically Ill Patients[J].Medical Information,2018,31(10):42.[doi:10.3969/j.issn.1006-1959.2018.01.016]
[2]周 涛.含膳食纤维肠内营养在脑出血术后患者中的价值分析[J].医学信息,2018,31(10):111.[doi:10.3969/j.issn.1006-1959.2018.10.035]
　ZHOU Tao.Analysis of the Value of Dietary Fiber Enteral Nutrition in Postoperative Patients with Cerebral Hemorrhage[J].Medical Information,2018,31(10):111.[doi:10.3969/j.issn.1006-1959.2018.10.035]
[3]应结草.急性胰腺炎治疗的研究[J].医学信息,2018,31(14):32.[doi:10.3969/j.issn.1006-1959.2018.14.011]
　YING Jie-cao.Study of the Treatment of Acute Pancreatitis[J].Medical Information,2018,31(10):32.[doi:10.3969/j.issn.1006-1959.2018.14.011]
[4]谢 鹏,曹海泉,尚 娟,等.重症急性胰腺炎患者肠内营养的时机选择[J].医学信息,2018,31(17):81.[doi:10.3969/j.issn.1006-1959.2018.17.024]
　XIE Peng,CAO Hai-quan,SHANG Juan,et al.Timing of Enteral Nutrition in Patients with Severe Acute Pancreatitis[J].Medical Information,2018,31(10):81.[doi:10.3969/j.issn.1006-1959.2018.17.024]
[5]刘庆宪,罗 虹,冯妙莲,等.补中健脾法对老年营养不良患者身体质量指数和相关蛋白质物质治疗价值的临床研究[J].医学信息,2018,31(21):152.[doi:10.3969/j.issn.1006-1959.2018.21.044]
　LIU Qing-xian,LUO Hong,FENG Miao-lian,et al.Clinical Study on the Therapeutic Value of Body Mass Iindex and Related Protein in Elderly Patients with Malnutrition by Invigorating the Spleen Method[J].Medical Information,2018,31(10):152.[doi:10.3969/j.issn.1006-1959.2018.21.044]
[6]候小芹,唐浪娟,晏萍兰.儿童鼻肠管的应用研究[J].医学信息,2020,33(07):52.[doi:10.3969/j.issn.1006-1959.2020.07.016]
　HOU Xiao-qin,TANG Lang-juan,YAN Ping-lan.Applied Research of Nasointestinal Tube in Children[J].Medical Information,2020,33(10):52.[doi:10.3969/j.issn.1006-1959.2020.07.016]
[7]娄侠儒,吴 翔,胡桂芳,等.早期幽门后喂养在重症脑血管疾病患者中的应用价值[J].医学信息,2020,33(13):90.[doi:10.3969/j.issn.1006-1959.2020.13.024]
　LOU Xia-ru,WU Xiang,HU Gui-fang,et al.Application Value of Early Post-pyloric Feeding in Patients with Severe Cerebrovascular Disease[J].Medical Information,2020,33(10):90.[doi:10.3969/j.issn.1006-1959.2020.13.024]
[8]周 强,刘 波.持续与间断肠内营养对创伤性肠破裂患者术后喂养不耐受的比较研究[J].医学信息,2021,34(01):105.[doi:10.3969/j.issn.1006-1959.2021.01.027]
　ZHOU Qiang,LIU Bo.A Comparative Study of Continuous and Intermittent Enteral Nutrition on Postoperative Feeding Intolerance in Patients with Traumatic Intestinal Rupture[J].Medical Information,2021,34(10):105.[doi:10.3969/j.issn.1006-1959.2021.01.027]
[9]王小兰,罗美珍,谢 堃,等.输液泵在脑出血患者肠内营养液喂养中的应用[J].医学信息,2021,34(14):190.[doi:10.3969/j.issn.1006-1959.2021.14.055]
　WANG Xiao-lan,LUO Mei-zhen,XIE Kun,et al.Application of Infusion Pump in the Feeding of Enteral Nutrient Solution in Patients with Cerebral Hemorrhage[J].Medical Information,2021,34(10):190.[doi:10.3969/j.issn.1006-1959.2021.14.055]
[10]王 楠.肠内营养联合双歧杆菌三联活菌对神经介入治疗后急性缺血性脑卒中患者二胺氧化酶及营养指标的影响[J].医学信息,2021,34(15):169.[doi:10.3969/j.issn.1006-1959.2021.15.047]
　WANG Nan.The Effect of Enteral Nutrition Combined with Live Bifidobacterium Triple Bacteria on Diamine Oxidase and Nutritional Indicators in Patients with Acute Ischemic Stroke After Neurointerventional Therapy[J].Medical Information,2021,34(10):169.[doi:10.3969/j.issn.1006-1959.2021.15.047]

更新日期/Last Update: 1900-01-01