Ou Wenhui,Duan Shouxing,Fu Maxian,et al.Effect of early enteral nutrition on postoperative treatment of congenital defects of gastric musculature[J].Journal of Clinical Pediatric Surgery,,20():263-267.[doi:10.12260/lcxewkzz.2021.03.012]
Effect of early enteral nutrition on postoperative treatment of congenital defects of gastric musculature
- Keywords:
- Congenital Defect of Gastric Musculature/CN; Enteral Nutrition; Treatment Outcome; Infant; Newborn
- CLC:
- R726.1;R574
- Abstract:
- Objective To explore the effect of early enteral nutrition on postoperative treatment of congenital defects of gastric musculature.Methods Retrospective reviews were conducted for 23 cases of congenital defect of gastric musculature from June 2003 to June 2018.They were divided into two groups of early enteral nutrition and routine.The authors collected and compared the postoperative data of these two groups,including postoperative nutritional status,electrolyte acidolysis balance and postoperative recovery.Results As compared with routine feeding group,K+(t=3.740;P=0.001),Ca2+(t=5.829;P<0.001) levels and pH (t=4.772;P<0.001) in early enteral nutrition group after 1 week were statistically significant (P<0.05).And such nutritional indicators as hemoglobin (t=1.403;P=0.177),serum albumin (t=1.105;P=0.283),apolipoprotein A (t=0.125;P=0.902) and apolipoprotein B (t=0.527;P=0.604) were not statistically significant (P>0.05); Weight gain (t=2.210;P=0.040) and time of initial defecation (t=10.051;P<0.001) were statistically significant in early enteral nutrition group(P<0.05)as compared with those in routine feeding group.The incidence of anastomotic fistula and mortality were not statistically significant (P>0.05).Conclusion For congenital defects of gastric musculature,early postoperative enteral nutrition can accelerate weight growth and intestinal function recovery and maintain the electrolyte and acid-base balances.It is worthy of clinical promotions.
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Memo
收稿日期:2019-03-25。
基金项目:汕头市科技计划项目（编号：汕府科[2017]182号-34）
通讯作者:李建宏,Email:lijh2925@163.com