摘要
目的探讨术前营养支持对肠梗阻患者手术预后的影响。方法选取本院2015年6月至2017年6月收治的128例行病变肠管切除手术的肠梗阻患者为研究对象,82例患者术前行营养支持(肠内营养支持48例,肠外营养支持34例),其余46例患者直接行手术治疗(对照组),分析术前营养支持及不同营养支持方案对患者术后营养状况及并发症的影响。结果术前营养支持组经营养支持后血红蛋白、白蛋白、前蛋白及转铁蛋白水平显著高于入院时,差异有统计学意义(P<0.05)。对照组术后感染率、肠造口率高于术前营养支持组(P<0.05),7 d营养达标率显著低于术前营养支持组(P<0.05),平均住院时间低于术前营养支持组(P<0.05)。肠内营养支持组血红蛋白、白蛋白、前蛋白及转铁蛋白水平显著高于肠外营养支持组(P<0.05)。肠内营养支持组术后感染率、喂养率、7 d营养达标率高于肠外营养支持组,住院时间短于肠外营养支持组(P<0.05)。结论肠梗阻患者术后营养水平在得到术前营养支持的情况下能有效提高,患者的术后感染率也显著降低。在患者能耐受的前提下,为了促进患者术后预后,应尽可能选择肠内营养支持。
Objective To investigate the effect of preoperative nutritional support for prognosis of patients with intestinal obstruction. Methods 128 routine intestinal lesions in patients with bowel resection surgery were selected from June 2015 to June 2017, 82 patients before surgery nutrition support line(48 cases enteral nutrition, parenteral nutrition support 34 cases), and the remaining 46 patients underwent surgery directly(control group)were analyzesd. The nutrition support programs on different nutritional status and postoperative complications. Results The levels of albumin, transferrin precursor protein of preoperative nutritional support group run support after raising hemoglobin were significantly higher than the time of admission(P<0.05). The infection, colostomy of control group were higher than the preoperative nutritional support group(P<0.05), 7 d nutrition compliance rate was significantly lower than the preoperative nutritional support group(P<0.05), the average length of stay was less than the preoperative nutritional support group(P<0.05). Enteral nutrition support group hemoglobin, albumin, transferrin precursor protein and protein levels were significantly higher than parenteral nutrition group(P<0.05). Enteral nutrition support group after infection, feeding rate, 7 d nutritional standards higher than the parenteral nutrition group, shorter hospital stay than parenteral nutrition group(P<0.05). Conclusion Preoperative nutritional support can effectively improve the nutritional level of postoperative ileus, reduce postoperative infection rates. In the case of patients tolerated enteral nutrition support as possible should be chosen to facilitate the postoperative prognosis.
作者
李健
邓晓东
杨元东
Li Jian;Deng Xiaodong;Yang Yuandong(Department of Surgery II,Wuzhou Hospital of Traditional Chinese Medicine,Wuzhou,Guangxi,543001,China)
出处
《当代医学》
2019年第12期45-47,共3页
Contemporary Medicine
关键词
术前营养支持
肠梗阻
肠内营养
肠外营养
Preoperative nutritional support
Obstruction
Enteral nutrition
Parenteral nutrition
