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根治性子宫切除术后改进早期营养支持,不常规使用胃管。

Improved early alimentation after radical hysterectomies without the traditional use of stomach tube.

作者信息

Hessov I, Rylev Larsen K, Søndergaard K

机构信息

Gynaecological Department, Aarhus County Hospital, Denmark.

出版信息

Acta Obstet Gynecol Scand. 1988;67(3):225-8. doi: 10.3109/00016348809004208.

Abstract

Energy and protein intake was studied for 12 days after radical hysterectomy in 16 patients, half of whom followed a traditional postoperative regimen (i) including a stomach tube until air-passage had taken place after which liquid food, protective food and full diet was gradually introduced. In the new regimen (ii) the stomach tube was not used, liquid alimentation was given from the first postoperative day and full diet as soon as the patient desired it. This early start of oral alimentation was well tolerated, without side effects. Compared with the conventional regimen, it resulted both in a higher average protein intake (i: 31 g protein/day, ii: 46 g protein/day, p less than 0.02) and in a higher energy intake (i: 3624 kJ/day, ii: 4956 kJ/day, p less than 0.01).

摘要

对16例子宫根治术后患者的能量和蛋白质摄入量进行了为期12天的研究,其中一半患者采用传统术后方案(i),包括留置胃管直至通气,之后逐渐引入流食、保护性食物和正常饮食。在新方案(ii)中,不使用胃管,术后第一天即开始给予流食,患者一旦有需求即可给予正常饮食。这种早期开始经口进食耐受性良好,无副作用。与传统方案相比,新方案导致平均蛋白质摄入量更高(i:31克蛋白质/天,ii:46克蛋白质/天,p<0.02),能量摄入量也更高(i:3624千焦/天,ii:4956千焦/天,p<0.01)。

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