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目的:观察肝肿瘤肝部分切除术后早期使用EN对病人术后恢复的影响。方法:选择接受手术治疗的各类肝肿瘤病人120例,随机分为两组。研究组术后连续4 d使用EN联合PN;对照组术后连续4 d单纯使用PN。结果:两组病人术前状况无统计学差异。研究组病人术后第7天ALB、PA、总胆红素(TB IL)、凝血酶原时间(PT)等明显优于对照组,转氨酶两组病人无显著性差异。研究组病人肛门排气时间早于对照组;研究组病人术后5～7 d平均进食量多于对照组;两组病人术后1～4 d胃肠减压液量、腹泻发生率、感染发生率等无显著性差异。结论:肝肿瘤肝部分切除术后病人早期适当行EN治疗,有利于改善病人的营养状况和术后消化功能,并可能有助于病人肝功能恢复。
Objective: To observe the effect of EN after early partial hepatectomy on the recovery of patients after liver resection. Methods: A total of 120 patients with various types of liver tumor undergoing surgery were randomly divided into two groups. The study group was treated with EN plus PN for 4 consecutive days and the control group received PN only for 4 consecutive days. Results: There was no significant difference in preoperative status between the two groups. In the study group, the ALB, PA, TB IL, PT of the 7th day after operation were significantly better than those of the control group. There was no significant difference between the two groups in the two groups. In the study group, the anal exhaust time was earlier than that in the control group. The average food intake of the study group was more than that of the control group 5-7 days after surgery. The amount of gastrointestinal decompression fluid, incidence of diarrhea and infection The incidence of no significant difference. CONCLUSIONS: Early postoperative partial hepatectomy for patients with liver tumors may lead to EN treatment, which is beneficial to improve the patient’s nutritional status and postoperative digestive function, and may contribute to the recovery of liver function.