国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
21期
2622-2624
,共3页
低热卡%低氮%肠外营养%老年患者%腹部手术
低熱卡%低氮%腸外營養%老年患者%腹部手術
저열잡%저담%장외영양%노년환자%복부수술
Low calorie%Low nitrogen%Parenteral nutrition%Elderly patients%Abdominal surgery
目的 探讨低氮低热量营养支持在老年腹部手术后应用的临床效果.方法 对2005年1月至2010年6月52例腹部手术后预计超过5天不能进食患者分A、B两组,A组27例给予低氮低热量肠外营养支持,B组25例进行传统肠外营养支持,比较两组的血糖水平、血浆蛋白水平以及并发症的发生率、营养药品费用.结果 经过术后7天的营养支持治疗,低氮低热量组血糖、营养药品费用明显低于传统组.低热量组血糖均值为(5.58±1.34)mmol/L,传统组血糖均值为(7.17±1.52)mmol/L,两组比较差异有显著性(P<0.05).低热量组营养药品费用均值(1328.6±103)元,传统组为(2396.8±152)元,两组差异有极显著性(P<0.01).血浆蛋白水平、术后并发症的发生率无差异.结论 低氮低热量的肠外营养支持符合老年患者腹部术后患者其代谢特点,有利于全身炎症应激反应的恢复,减少感染并发症的发生,能够安全有效地促进老年腹部术后病人的恢复.
目的 探討低氮低熱量營養支持在老年腹部手術後應用的臨床效果.方法 對2005年1月至2010年6月52例腹部手術後預計超過5天不能進食患者分A、B兩組,A組27例給予低氮低熱量腸外營養支持,B組25例進行傳統腸外營養支持,比較兩組的血糖水平、血漿蛋白水平以及併髮癥的髮生率、營養藥品費用.結果 經過術後7天的營養支持治療,低氮低熱量組血糖、營養藥品費用明顯低于傳統組.低熱量組血糖均值為(5.58±1.34)mmol/L,傳統組血糖均值為(7.17±1.52)mmol/L,兩組比較差異有顯著性(P<0.05).低熱量組營養藥品費用均值(1328.6±103)元,傳統組為(2396.8±152)元,兩組差異有極顯著性(P<0.01).血漿蛋白水平、術後併髮癥的髮生率無差異.結論 低氮低熱量的腸外營養支持符閤老年患者腹部術後患者其代謝特點,有利于全身炎癥應激反應的恢複,減少感染併髮癥的髮生,能夠安全有效地促進老年腹部術後病人的恢複.
목적 탐토저담저열량영양지지재노년복부수술후응용적림상효과.방법 대2005년1월지2010년6월52례복부수술후예계초과5천불능진식환자분A、B량조,A조27례급여저담저열량장외영양지지,B조25례진행전통장외영양지지,비교량조적혈당수평、혈장단백수평이급병발증적발생솔、영양약품비용.결과 경과술후7천적영양지지치료,저담저열량조혈당、영양약품비용명현저우전통조.저열량조혈당균치위(5.58±1.34)mmol/L,전통조혈당균치위(7.17±1.52)mmol/L,량조비교차이유현저성(P<0.05).저열량조영양약품비용균치(1328.6±103)원,전통조위(2396.8±152)원,량조차이유겁현저성(P<0.01).혈장단백수평、술후병발증적발생솔무차이.결론 저담저열량적장외영양지지부합노년환자복부술후환자기대사특점,유리우전신염증응격반응적회복,감소감염병발증적발생,능구안전유효지촉진노년복부술후병인적회복.
Objective To explore the efficacy of low nitrogen and low calorie nutrition support in elderly patients undergoing abdominal surgery. Methods 52 patients who received abdominal surgery from January 2005 to June 2010 and were supposed not to take foods for 5 days were assigned to receive low nitrogen and low calorie parenteral nutriention ( 27 patients, group A ) or traditional parenteral nutriention ( 25 patients, group B ). Levels of blood sugar and plasma protein, incidence of complications, and costs of nutritional supplements were compared between the two groups. Results Seven days after nutritional support, the cost of nutritional supplements was significantly lower in group A than in group B( [1328.6 ±103]yuan vs[2396.8 ± 152]yuan, P< 0.01 ). The mean blood sugar values differed significantly between group A and group B ( [5.58 ± 1.34]mmol/L vs [7.17 ± 1.52]mmol/L, P< 0.05 ). There were no differences in plasma protein levels and incidence of complications between the two groups. Conclusions Low nitrogen and low calorie parenteral nutriention support is beneficial for the metabolic characteristics in elderly patients undergoing abdominal surgery and for the improvement of overwhelming inflammatory responses,reduces the incidence of complications, and accelerates the recovery of postoperative patients safely and effectively.
