关键词: 围手术期, 糖尿病, 营养支持　

Abstract: 【Abstract】 Objective In order to investigate the effect of enteral nutrition support on blood glucose levels and nutritional status of perioperative patient with diabetes. Methods Thirty-eight perioperative patients with diabetes were divided randomly into two groups of 19. All the patients were fed according to the nutrition treatment principle for diabetes. After operations, the patients in control group were given liquid, semi-liquid and normal diets gradually based on their gastrointestinal tract tolerance, while the patients in experimental group were given full nutrients diet special for diabetes containing 4% dietary fiber. The calories intake of each group patients were kept at 84~105kj/kg?d. Results Before operation, the fasting blood glucose level of control group was similar to that of experimental group (7.2±1.6 mmol/L vs 7.3±1.3 mmol/L), respectively. However, the blood glucose level of experimental group (7.6±1.1mmol/L) was significantly lower than that of the control group (8.8±1.8mmol/L) on the eighth day post-operation。The serum prealbumin levels and total numbers of blood lymphocytes were statistically higher in experimental group patients than those in control group. Significantly lower infection incidence occurred in experimental group than in control group. No patient suffered metabolism dysfunction such as low blood glucose and ketoacidosis。Conclusion Proper nutrition treatment for perioperative patient with diabetes is helpful to control blood glucose levels, improve nutritional status, promote wound heal and prevent implications.

Key words: Perioperative period, Parenteral nutrition