A comparison of the effects of intermittent and continuous nasogastric feeding on the oxygen consumption and nitrogen balance of patients after major head and neck surgery.

A comparison of the effects of intermittent and continuous nasogastric feeding on the oxygen consumption and nitrogen balance of patients after major head and neck surgery.
复制标题

间歇与连续鼻胃喂养对头颈大手术后患者耗氧量和氮平衡的影响比较。

DOI:
10.1093/ajcn/38.6.870
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发表时间:
1983
期刊:
The American journal of clinical nutrition
影响因子:
--
通讯作者:
P. Stell
P. Stell
中科院分区:
--
文献类型:
--
作者:
I. Campbell;R. Morton;J. A. Cole;C. Raine;L. Shapiro;P. Stell

文献摘要

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10例患者在头颈部大手术后经鼻胃管喂养5天。其中5例用肠内营养泵持续输注24 h/d,5例在0600~2200 h之间用2 h团注补充等量的氮,术后第4、5天静息耗氧量低于持续饲养组,5 d累积氮平衡好于持续饲养组。在新陈代谢方面,术后患者经鼻胃管喂养时,间歇喂养方案可能比连续喂养方案更好。
Ten patients were fed by nasogastric tube for 5 days after major surgery of the head and neck. Five were fed by continuous infusion 24 h/day using an enteral nutrition pump and five were fed comparable quantities by 2-h bolus administration between 0600 and 2200 h. Those fed by bolus had lower resting oxygen consumption on the 4th and 5th postoperative days and better cumulative nitrogen balance over the 5 days than the continuously fed group. It appears that metabolically it may be better to use an intermittent feeding regimen than a continuous one when feeding patients postoperatively via a nasogastric tube.