摘要
目的 :研究普通外科危重患者围手术期营养支持的临床疗效。方法 :对 1995年以来 14 7例普通外科危重患者围手术期营养支持应用情况进行了分析。腹部手术 138例 (93.9% ) ,颈部手术 9例 (6 .1% )。采用以全胃肠外营养 (TPN)为主的阶段性营养支持方法补充营养。深静脉置管方法 :经颈内静脉置管 132例 (89.8% )、腋静脉 11例 (7.5 % )、股静脉 4例 (2 .7% ) ;使用单腔导管 12 7例 (86 .4 % )、双腔 2 0例 (13.6 % ) ;4 1例 (2 7.9% )放置肠内营养 (EN)管。 10 6例 (72 .1% )为 TPN→ PN+口服饮食→口服饮食 ,4 1例 (2 7.9% )为 TPN→ PN+EN→ EN→ EN +口服饮食→口服饮食。结果 :本组营养支持期间无置管和代谢并发症。 14 2例 (96 .6 % )康复 ,5例 (3.4 % )死于原发病。结论 :普通外科危重患者围手术期营养支持是重要辅助治疗方法 ,可保证手术安全 ,促进术后康复。
Objective:To study the clinical effect of the nutrition support of severe illness patients of general surgery during perioperation period.Methods:To analyse application of the nutrition support applied to 147 cases with severe illness of general surgery in perioperation period since 1995.In 147 cases,there were abdominal operations ( n =138,93 9%) and cervical operations (n =9,6 1%) and emergency operations ( n =63, 42 8%).Total parenteral nutrition(TPN) was used by venous cannal ways including internal juglar vein ( n =132,89 8%),axillary vein ( n =11,7 5%),femoral vein ( n =4,2 7%),used unicameral catheter ( n =127, 86 4%),double catheter ( n =20,13 6%),41 cases were used enternal nutrition.Two different nutritional support treatments were employed, one was TPN→parenteral nutrition(PN)+oral diet→oral diet ( n =106, 72 1%) and another was TPN→PN+enteral nutrition(EN)→EN→EN+oral diet→oral diet ( n =41, 27 9%).Results:There were not complications of catheterization and metabolism in the nutrition support, 142 cases (96 6%) had been cured and 5 cases (3 4%) died of primary diseases after operation. Conclusion: The nutrition support of patients with severe illness of general surgery in perioperation period is an important adjuvant treatment that can assure operative safety and promote recovery on postoperation.
出处
《中国危重病急救医学》
CAS
CSCD
2003年第2期117-119,共3页
Chinese Critical Care Medicine
关键词
危重病
围手术期
营养支持
severe illness
perioperation period
nutrition support
