Clinical Application Of Enteral Nutrition In Postoperative

Object: The purpose of this study was to use upper gastrointestinal surgerypatients as the research object.Observe the clinical effect of enteral nutrition ingastrointestinal perioperative. Discussion the scientific and rational solutions ofenteral nutrition in the clinical application.Method: The gastrointestinal surgery,95patients undergoing ASAI-III grade,aged40to75years old were randomly divided into two groups: P group (parenteralnutrition group), E group (enteral nutrition group). All patients underwent the samepreoperative preparation,30min preoperative and48h postoperative use routineantibiotics to prevent infection, routine postoperative analgesia, intravenousrehydration. All postoperative parenteral nutrition group within24h jugular veincatheter intravenous nutrition, routinely given fat emulsion, trace elements, aminoacids, vitamins, etc., the amount of heat supplied in accordance with30kal/(kg d).Record the patient’s general groups: Before sex, age, weight, preoperative NRS2002score (nutritional risk score), preoperative C-reactive protein (CRP), preoperativeserum albumin (ALB), preoperative serum prealbumin (PAB). Recorde two groups ofpatients degree of surgical trauma, postoperative NRS score, ALB, PAB and CRPafter1day,3days,7days, weight after seven days. NRS score≥3into nutritionalrisk, according to the clinical condition of the patient, to give nutrition interventions.NRS <3points were screened once a week during they were in the hospital. Recordadverse events occurred in Group E, assess the patient’s tolerance of enteral nutrition.Result：(1) Generally conditions of the two groups of patients, including thepatient’s age, weight, sex, NRS, CRP, ALB, PAB, using two independent samplest-test comparison, P>0.05, no significant difference between the two groups. Nosignificant difference of gender between the two groups.(2) Compare the degree of trauma between the two groups P>0.05, no significant difference between the twogroups.(3) The ALB, PAB and CRP of two groups of patients in the firstpostoperative day compared by group t test, were found in P>0.05, no significantdifferences. The ALB, PAB and CRP of patients in both groups after the first threedays compared by group t test found (4) Body weight, CRP, ALB and PAB of patientsin both groups after the first seven days were compared by group t test, found thatbetween the two groups in weight, ALB, PAB differences were statistically significant(P <0.05), E group was significantly higher than the P group. The differences of CRPafter the first seven days of two groups of patients are also statistically significant (P<0.05), P group was significantly higher than the E group.(5) The survey of patients’tolerance found that patients tolerated enteral nutrition group E good.Conclusion: Clinical application effects of enteral nutrition in postoperativeupper gastrointestinal than parenteral nutrition...