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[术前溃疡病程复杂患者营养状况的恢复]

[Restoration of nutritional status in patients with complicated course of ulcer during preoperative period].

作者信息

Zherlov G K, Koshel' A P, Rudaia N S, Aksenenko A V, Ermolaev Iu D, Lobachev R S, Nustafaev R S, Raĭsh D V

出版信息

Eksp Klin Gastroenterol. 2004(4):73-6, 110.

Abstract

The comparative analysis of the efficiency of the enteral tube feeding and parenteral feeding in 52 patients with the subcompensated stenosis of the pylorus was carried out. Satisfactory results were received in all groups of patients taking enteral and parenteral feeding. Consequently, the differences in the parameters of the catabolic index and general protein in the patients taking balanced food mixes rich in calories and 'usual feeding' were statistically significant. Complications caused by enteral tube feeding were observed in 23.3%. None of the patients having such complications required food suspension. The frequency and significance of such complications were higher (54.5%) in the group of the patients taking parenteral feeding. This study has shown that the enteral tube feeding is just as efficient as the parenteral feeding. Besides, the enteral tube feeding is characterized by less significant side effects and is more cost-efficient.

摘要

对52例幽门代偿不全狭窄患者进行了肠内管饲和肠外营养的效率比较分析。接受肠内和肠外营养的所有患者组均取得了满意的结果。因此,摄入富含热量的均衡食物混合物和“常规喂养”的患者,其分解代谢指数和总蛋白参数差异具有统计学意义。肠内管饲引起的并发症发生率为23.3%。出现此类并发症的患者无一需要暂停进食。肠外营养组患者此类并发症的发生率和严重程度更高(54.5%)。本研究表明,肠内管饲与肠外营养同样有效。此外,肠内管饲的副作用较小,成本效益更高。

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