摘要目的 评估肠内营养支持对胰十二指肠切除术后的重要作用.方法 对2015年3月至2016年12月在解放军沈阳军区总医院接受胰十二指肠切除术(Whipple术)治疗的38例患者的临床资料进行回顾性研究.术后应用肠内营养12例(EN组),全肠外静脉营养26例(TPN组),对比2组患者术后炎症指标、营养状况指标及并发症的发生情况.结果 EN组与TPN组在满足机体需要,改善术后营养状况差异无统计学意义(P>0.05),但EN组炎症发生率低于TPN组(P=0.02),并且术后胃肠道功能恢复优于TPN组,术后并发症发生率低于TPN组.结论 胰十二指肠切除术后予以肠内营养支持,可以加速肠道功能恢复,减少并发症的发生,有利于患者的术后康复.

abstractsObjective To evaluate the effect of enteral nutrition supported in postoperative pancre-atic cancer patients of pancreaticoduodenectomy. Methods A retrospective study was performed on 38 pa-tients who underwent pancreaticoduodenectomy ( Whipple surgery) from March 2015 to December 2016. There were 12 cases of enteral nutrition( EN group) and 26 cases of total parenteral nutrition( TPN group) . The inflammatory,nutrition and complications were compared between the two groups. Results The enteral nutrition group and the total parenteral nutrition group had the same effect in nutrition(P>0. 05). The in-flammatory(P=0. 02),the function of gastrointestinal tract and complications in the EN group were better than those in the TPN group. Conclusion Enteral nutrition in postoperative pancreatic cancer patients of pancreaticoduodenectomy can accelerate intestinal function recovery,reduce complications and improve the rehabilitation of patients.