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[颌面手术后使用天然生理性鼻饲饮食Nutro-Drip的试验]

[Trials with the native physiological tube-feeding diet Nutro-Drip after maxillofacial operations].

作者信息

Lange H, Podlesch I

出版信息

Infusionsther Klin Ernahr. 1981 Dec;8(6):291-301.

PMID:6799401
Abstract

40 patients, who underwent maxillo-facial surgery, were fed with the native physiological diet Nutro-Drip via nasogastric tubes for 10 days. Due to intolerance in 5% of the patients, the nutrition had to be interrupted. The other patients received 1500-2500 ml Nutro-Drip per 24 h (= 1605--2675 kcal = 6780-11300 J). Transient side effects were: diarrhoe 3,8%; nausea 0,8%; eructation and/or heartburn 1,1%; squeezing of the stomach 1,1%. In these patients nutrition with Nutro-Drip was not interrupted. The mean frequency of defecation was 0,81/day. There were no significant changes in body weight, serum electrolytes, water balance, blood sugar, liver enzymes, serum cholesterol, and acid-base balance during the feeding with Nutro-Drip. Immediately after surgery there was a statistically significant decrease in potassium, protein, and albumin levels in the serum with the tendency to normal values during Nutro-Drip feeding. During the postoperative period the urea content of the serum increased continuously without altering creatinin levels in the serum. Nutro-Drip seems to be very suitable for tube-feeding in patients with normal gastro-intestinal tract.

摘要

40例接受颌面外科手术的患者通过鼻胃管接受天然生理性饮食Nutro-Drip喂养10天。由于5%的患者不耐受,营养不得不中断。其他患者每24小时接受1500 - 2500毫升Nutro-Drip(= 1605 - 2675千卡 = 6780 - 11300焦耳)。短暂的副作用有:腹泻3.8%;恶心0.8%;嗳气和/或烧心1.1%;胃部挤压感1.1%。这些患者使用Nutro-Drip进行营养支持未中断。排便平均频率为0.81次/天。在使用Nutro-Drip喂养期间,体重、血清电解质、水平衡、血糖、肝酶、血清胆固醇和酸碱平衡均无显著变化。术后即刻血清钾、蛋白质和白蛋白水平有统计学意义的下降,在使用Nutro-Drip喂养期间有恢复至正常水平的趋势。术后血清尿素含量持续升高,而血清肌酐水平无变化。Nutro-Drip似乎非常适合胃肠道正常的患者进行管饲。

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