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目的分析胃肠道肿瘤手术后早期肠内营养支持的恰当起始时间。方法回顾性分析2010年9月~2013年3月本院收治的确诊手术治疗的100例胃肠道肿瘤术后患者的临床资料。结果随着肠内营养支持开始时间的推后,A组、B组、C组、D组患者的腹胀不适发生率依次降低,肠蠕动恢复时间和肛门首次排气时间依次延长,四组患者的腹胀不适发生率、肠蠕动恢复时间、肛门首次排气时间之间的差异均具有统计学意义(P<0.05)。结论胃肠道肿瘤手术后早期肠内营养支持的恰当起始时间为手术后6 h。
Objective To analyze the appropriate starting time of early enteral nutrition support after gastrointestinal cancer surgery. Methods The clinical data of 100 cases of postoperative gastrointestinal cancer patients diagnosed and treated in our hospital from September 2010 to March 2013 were retrospectively analyzed. Results With the delay of the start of enteral nutrition support, the incidences of abdominal distension and discomfort in group A, group B, group C and group D decreased in turn, and the recovery time of peristalsis and the time of the first discharge of anus were prolonged in turn. The incidence of abdominal distension discomfort, bowel recovery time, anal first time between the exhaust time were statistically significant (P <0.05). Conclusions The proper starting time for early enteral nutrition after gastrointestinal cancer surgery is 6 h after surgery.