CAJ | 학술논문

目的：探讨建立营养支持小组对院内临床营养支持疗效的影响。方法：将1999年1月～2000年4月间的317例病人以我院营养支持小组成立时为界，分为成立前(BET组)、成立后(AET组)两组。对两组病人营养支持状况及其并发症发生情况作对照分析。结果：AET组营养支持前接受全面的营养状况评估、营养支持治疗中进行营养监测、肠外营养选择TNA方式及中心静脉输注途径、肠内营养支持采用管饲方式的人数比例较BET组均有显著提高(P＜0.05)。AET组的肠外营养支持中导管及代谢并发症发生率、肠内营养支持中胃肠道及代谢并发症发生率较BET组有显著下降(P＜0.05)。结论：建立营养支持小组能使临床营养支持的规范化程度提高，有效地降低营养支持相关并发症的发生率，是推动营养支持在临床上更为有效、安全、合理应用的一种良好方式。
목적：탐토건립영양지지소조대원내림상영양지지료효적영향。 방법：장1999년1월～2000년4월간적317례병인이아원영양지지소조성립시위계，분위성립전(BET조)、성립후(AET조)량조。대량조병인영양지지상황급기병발증발생정황작대조분석。 결과：AET조영양지지전접수전면적영양상황평고、영양지지치료중진행영양감측、장외영양선택TNA방식급중심정맥수주도경、장내영양지지채용관사방식적인수비례교BET조균유현저제고(P＜0.05)。AET조적장외영양지지중도관급대사병발증발생솔、장내영양지지중위장도급대사병발증발생솔교BET조유현저하강(P＜0.05)。 결론：건립영양지지소조능사림상영양지지적규범화정도제고，유효지강저영양지지상관병발증적발생솔，시추동영양지지재림상상경위유효、안전、합리응용적일충량호방식。
Objectives:To explore the effect of the nutrition support team(NST) in the hospital. Methods：317 patients (form Jan.1999 to Apr.2000) were divided into two groups according to the time of establishing NST in the hospital, before establishing term (group BET) and after establishing term (group AET). The results of treatment and complications with clinical nutritional support were compared before and after establishing NST in the hospital. Results:After NST was established in the hospital, the percentages of nutrition assessment, adopting TNA and center venous catheter (CVC) method in PN, choosing tube feeding methods in EN were significantly increased. Compared with the group BET, the group ATE had a significant reduction in mechanical and metabolic complications of PN or gastrointestinal and metabolic complications of EN. Conclusions:Establishing NST in the hospital can decrease the complications of PN and EN. It is helpful to promote the clinical application of nutritional support safely and reasonably.