The Study Of Early Enteral Nutrition On Reducing Infection Complications After Liver Transplantation In End-stage Liver Disease

Objective: To investigate the effect of early enteral nutrition on the incidence of infection after liver transplantation,to understand the recovery of intestinal function and the role of early enteral nutrition in patients with end-stage liver disease,and to further explore the effect of enteral nutrition on the complications of infection after liver transplantation.Methods: From June 2016 to June 2019,all cases of orthologous liver transplantation were selected in the Department of Hepatobiliary first people’s Hospital of Kunming,with a total of 103 cases.According to the inclusion criteria and exclusion criteria,93 patients were selected,including 68 men and 25 women,with an average age of 48 years.Patients receiving early enteral nutrition and parenteral nutrition after liver transplantation were selected as the experimental group.Patients receiving whole parenteral nutrition after liver transplantation until anal exhaust and defecation were included in the control group.According to the preoperative MELD score,the incidence of postoperative infection complications was analyzed in different MELD grades of test group and control group.Result: According to inclusion criteria,Including 93 patients,The total number of infections was 59(62.4%),Of these,31 were tested,There were 15 patients(48.3%,15/31),Control group 62,The complications of postoperative infection were 44(70.9%),44/62).1.describe age,operation time,length of stay,mean ± standard deviation,Comparison t independent samples,No statistical difference was found.Describe sex,infection,MELD rate of use or composition,Use chi-square test for comparison.Among them,The infection rate in the control group(70.9%)was higher than that in the test group(48.3%).There was no statistical difference between the other groups.2.describe sex,MELD score,non-infective complications,enteral nutrition use,chi-square test was used for comparison.There were significant differences in infection and Meld scores and enteral nutrition(P<0.05),Among them,Higher Meld scores for infected people,There was no statistical difference between the other groups.3.factors affecting infection Logistic regression analysis showed that infection with non-infectious complications was6.065 times more likely than non-infectious complications,For every unit of surgery,The risk of infection increases to 1.548 times.Conclusion :1.Early enteral nutrition can effectively reduce the incidence of early infection complications after liver transplantation for end-stage liver disease.2.There is also a relationship between postoperative infection complications and postoperative non-infection complications in end-stage liver disease.3.The effect of early enteral nutrition on reducing postoperative infection rate decreased gradually after a certain time.