Ciesielski L, Czekalski P, Bilski D, Olejniczak W
I Kliniki Chirurgicznej Instytutu Chirurgii Akademii Medycznej w Lodzi.
Wiad Lek. 1997;50 Suppl 1 Pt 2:438-42.
Eighty malnourished patients with neoplasms, enteric fistulae, multiorgan trauma and septic complications administered food by means of enteral feeding (EF). It was found that EF prevents weight loss and even causes weight gain in patients, increases total protein and albumin concentrations and decreases urea and creatinine levels in blood which is a proof of catabolism fall. Patient condition improvement and healing of the majority of enteric fistulae was achieved after EF. Factory diet intolerance affected 5% of patients and diarrhoea-6%. Investigations prove that enteral feeding is a good alternative to parenteral nutrition. If enteral feeding follows proper indications, technique and route of administration are chosen the right way, it allows the surgeon to perform operation, decreases the number of complications and enables the patient's organism fight septic syndrome. Enteral feeding is a state of the art method of severely ill patient nutrition.
80例患有肿瘤、肠瘘、多器官创伤和脓毒症并发症的营养不良患者通过肠内营养（EF）方式给予食物。结果发现，肠内营养可防止患者体重减轻，甚至使患者体重增加，提高血液中总蛋白和白蛋白浓度，降低尿素和肌酐水平，这证明分解代谢有所下降。肠内营养后，大多数患者的病情得到改善，多数肠瘘愈合。5%的患者出现工厂饮食不耐受，6%的患者出现腹泻。研究证明，肠内营养是肠外营养的良好替代方法。如果肠内营养遵循适当的指征，正确选择技术和给药途径，它能让外科医生进行手术，减少并发症数量，并使患者机体对抗脓毒症综合征。肠内营养是重症患者营养支持的先进方法。
