Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1587-1589
ZHAO Min, SANG Chang-ye, YAN Chang-hong. Effect of EEN and PN scheme on the nutrition indicators, immunological function and rehabilitation in patients undergoing laparoscopic colorectal surgery[J]. Chinese Journal of General Practice, 2022, 20(9): 1587-1589. doi: 10.16766/j.cnki.issn.1674-4152.002655
Citation: ZHAO Min, SANG Chang-ye, YAN Chang-hong. Effect of EEN and PN scheme on the nutrition indicators, immunological function and rehabilitation in patients undergoing laparoscopic colorectal surgery[J]. Chinese Journal of General Practice, 2022, 20(9): 1587-1589. doi: 10.16766/j.cnki.issn.1674-4152.002655
shu

Effect of EEN and PN scheme on the nutrition indicators, immunological function and rehabilitation in patients undergoing laparoscopic colorectal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002655

  • Department of General Surgery, Yanqing Hospital of the Third Hospital of Peking University, Beijing 102100, China

Funds:

 YQRC2018-0205

  • Received Date: 2021-10-28
    Available Online: 2022-11-29
    Abstract
  •   Objective  To explore the effect of early enteral nutrition (EEN) + parenteral nutrition (PN) schemes on the nutritional indicators, immunological function and postoperative rehabilitation in patients undergoing laparoscopic colorectal surgery.  Methods  A total of 90 patients who were admitted in our hospital for laparoscopic colorectal surgery were included in the study and divided into the observation group (45 cases) and the control group (45 cases) according to different nutrition support schemes. The patients in the observation group were given EEN + PN scheme, whereas the patients in the control group were given total parenteral nutrition (TPN) support. The nutritional indicators, immunological function and postoperative rehabilitation in the two groups were compared.  Results  ALB, total protein (TP) and prealbumin (PAB) levels at 3 days and 1 week after operation in the observation group were significantly higher than those in the control group (t value 3 days after operation were 3.640, 4.529 and 3.207, respectively, all P < 0.05; t value 1 week after operation were 2.047, 2.550 and 4.079, respectively, all P < 0.05). IgG, IgA and complement C4 levels at 3 days and 1 week after operation in the observation group were significantly higher than those in the control group (t value 3 days after operation were 2.058, 3.649 and 10.680, respectively, all P < 0.05; t value 1 week after operation were 2.897, 2.154 and 6.012, respectively, all P < 0.05). Exhaustion, defecation and hospitalization time after operation in the observation group were significantly lower than those in the control group (t=6.010, 5.784 and 4.851, respectively, all P < 0.05). The comparison of the occurrence rate of postoperative complications between the two groups was not statistically significant (22.2% vs. 24.4%, χ2=0.104, P>0.05).  Conclusion  EEN + PN support scheme for patients undergoing laparoscopic colorectal surgery can effectively improve the nutritional status and promote postoperative rehabilitation.

     

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