摘要
目的 探讨口服肠内营养支持在局麻下高龄（＞60岁）腹主动脉瘤（AAA）腔内覆膜支架置入术后的应用.方法 本院2010年1月至2011年10月经腔内覆膜支架置入术治疗的高龄腹主动脉瘤患者中选取30例,分为2组,每组15例,A组术后8h给予口服肠内营养支持（安素,50 g,3次/d）,B组术后8h普食.对比术后切口感染率、血浆白蛋白、术后住院时间.结果 A组患者术后第3、7天白蛋白水平高于B组（P＜0.05）,两组感染率及术后住院时间比较差异无统计学意义（P＞0.05）.结论 口服肠内营养支持可促进局麻下经腔内覆膜支架置入术治疗的高龄腹主动脉瘤患者术后恢复,提高营养状态,有利于患者恢复.
Objective TO investigate the clinical value of oral enteralnutrition support （ENSURE） for senior （ 〉 60 years） abdominal aortic aneurysm （AAA） patients who underwent endovascular aortic repair （EVAR）. Methods The data of 30 senior AAA patients who underwent EVAR was restrictively reviewed. The patients were divided into two groups： Group A = 15, with postoperative ENSURE, 50 g, tid; Group B = 15, with postoperative common food. The postoperative data were compared between two groups, including the hospital stay, infection of operative incision rate, and nutritional state in the third and seventh day after operation. Results The postoperative hospital stay and infection rate had no significant difference between two groups. The plasma albumin in group A in the third day and the seventh day were higher （ P 〈 0.05）. Conclusions ENSURE improved the nutritional status of AAA patients who underwent EVAR, and shorten postoperative hospital stays.
出处
《中国医师杂志》
CAS
2014年第3期313-314,318,共3页
Journal of Chinese Physician
关键词
肠道营养
投药
口服
麻醉
局部
主动脉瘤
腹
外科学
支架
Enteral nutrition
Administration, oral
Anesthesia, local
Aortic aneurysm, abdominal/surgery
Stents
