CAJ | 학술논문

目的探讨营养支持治疗在术后早期炎性肠梗阻病人中的应用.方法对32例术后早期炎性肠梗阻患者的生命体征稳定后,施予全肠外营养支持,尔后逐渐过渡至肠内营养支持和口服半流质饮食.通过治疗时间、营养支持治疗相关并发症情况、治疗前后患者体重、血浆白蛋白及血浆红蛋白的变化情况观察营养支持治疗的效果.结果除1例中转手术治疗外,余31例均治愈.平均治疗时间为(21.47±8.64)d,治疗后较治疗前无明显体重下降(P＞0.05),血浆白蛋白和红蛋白含量有所升高(P＜ 0.05).结论合理的营养支持治疗,有助于改善术后早期炎性肠梗阻病人的预后,且并发症少,疗效确切,值得推广应用.
목적 탐토영양지지치료재술후조기염성장경조병인중적응용.방법 대32례술후조기염성장경조환자적생명체정은정후,시여전장외영양지지,이후축점과도지장내영양지지화구복반류질음식.통과치료시간、영양지지치료상관병발증정황、치료전후환자체중、혈장백단백급혈장홍단백적변화정황관찰영양지지치료적효과.결과 제1례중전수술치료외,여31례균치유.평균치료시간위(21.47±8.64)d,치료후교치료전무명현체중하강(P＞0.05),혈장백단백화홍단백함량유소승고(P＜ 0.05).결론 합리적영양지지치료,유조우개선술후조기염성장경조병인적예후,차병발증소,료효학절,치득추엄응용.
Objective Retrospeetively analyzed the clinical data of 26 patients with enterocutaneous fistula after abdominal operation admitted into our hospital,and summarize the experience of reducing the mortality rate of enterocutaneous fistula.Methods Analyzed the general information,primary disease,fistula' s causes,fistula' s general information,fistula incidence and cure rate of these 26 patients.Results From March 2006 to October 2011,enterocutaneous fistula's incidence rate in our hospital was 0.99％; among these 26 pateints,2 patients died; the cure rate of enterocutaneous fistula was 92.31％; the fatality rate was 7.69％.Conclusions Using therapeutic measures such as fasting and the implementation of good nutritional support treatment,good drainage and infection control,the implementation of somatostatin and growth hormone therapy,timely operation ect.can effectively treat enterocutaneous fistula; the cure rate is high.