Wang Xin-Ying, Li Wei-Qin, Zhao Yun-Zhao, Ren Jian-An, Li Ning, Li Jie-Shou
Research Institute of General Surgery, Jinling Hospital, Nanjing 210002, China.
Zhonghua Wai Ke Za Zhi. 2007 Jul 1;45(13):891-3.
To evaluate the feasibility and efficacy of enteral nutrition (EN) in patients underwent open-abdomen managements.
Twenty-one patients who received at least 3 days of EN after opening the peritoneal cavity between January 2003 and November 2006 were included in this study. Energy expenditure and actual caloric and protein intake were determined in some patients. The levels of serum protein and nitrogen balance before and after the EN were analyzed. Other related complications were also evaluated.
Average daily total caloric intake was 93% - 95% of estimated needs. The EN support was administered (8.8 +/- 5.5) d after opening the abdominal cavity and lasted for (51.5 +/- 33.6) d. Initial serum protein levels were low and below normal but increased in all of the patients after the EN. The average nitrogen balance was (-28.6 +/- 5.4) g/d. Diarrhea, gastric reflux, vomiting and abdominal distention occurred in 67%, 23%, 9.5% and 23% of the patients, respectively. All the complications were managed well.
EN support could be effectively and safely given in patients requiring opening peritoneal cavity management.
评估肠内营养（EN）在接受开腹处理患者中的可行性及疗效。
纳入2003年1月至2006年11月间21例在打开腹腔后接受至少3天肠内营养的患者。部分患者测定了能量消耗以及实际热量和蛋白质摄入量。分析了肠内营养前后血清蛋白水平和氮平衡情况。还评估了其他相关并发症。
平均每日总热量摄入量为估计需求量的93% - 95%。肠内营养支持在打开腹腔后（8.8 ± 5.5）天开始给予，持续（51.5 ± 33.6）天。初始血清蛋白水平较低且低于正常，但在所有患者接受肠内营养后均有所升高。平均氮平衡为（-28.6 ± 5.4）g/d。腹泻、胃反流、呕吐和腹胀分别发生在67%、23%、9.5%和23%的患者中。所有并发症均得到良好处理。
对于需要进行开腹处理的患者，可有效且安全地给予肠内营养支持。
