CAJ | 학술논문

目的探讨口服肠内营养支持在局麻下高龄(＞60岁)腹主动脉瘤(AAA)腔内覆膜支架置入术后的应用.方法本院2010年1月至2011年10月经腔内覆膜支架置入术治疗的高龄腹主动脉瘤患者中选取30例,分为2组,每组15例,A组术后8h给予口服肠内营养支持(安素,50 g,3次/d),B组术后8h普食.对比术后切口感染率、血浆白蛋白、术后住院时间.结果 A组患者术后第3、7天白蛋白水平高于B组(P＜0.05),两组感染率及术后住院时间比较差异无统计学意义(P＞0.05).结论口服肠内营养支持可促进局麻下经腔内覆膜支架置入术治疗的高龄腹主动脉瘤患者术后恢复,提高营养状态,有利于患者恢复.
목적 탐토구복장내영양지지재국마하고령(＞60세)복주동맥류(AAA)강내복막지가치입술후적응용.방법 본원2010년1월지2011년10월경강내복막지가치입술치료적고령복주동맥류환자중선취30례,분위2조,매조15례,A조술후8h급여구복장내영양지지(안소,50 g,3차/d),B조술후8h보식.대비술후절구감염솔、혈장백단백、술후주원시간.결과 A조환자술후제3、7천백단백수평고우B조(P＜0.05),량조감염솔급술후주원시간비교차이무통계학의의(P＞0.05).결론 구복장내영양지지가촉진국마하경강내복막지가치입술치료적고령복주동맥류환자술후회복,제고영양상태,유리우환자회복.
Objective To investigate the clinical value of oral enteralnutrition support (ENSURE) for senior (＞ 60 years) abdominal aortic aneurysm (AAA) patients who underwent endovascular aortic repair (EVAR).Methods The data of 30 senior AAA patients who underwent EVAR was restrictively reviewed.The patients were divided into two groups:Group A =15,with postoperative ENSURE,50 g,tid; Group B =15,with postoperative common food.The postoperative data were compared between two groups,including the hospital stay,infection of operative incision rate,and nutritional state in the third and seventh day after operation.Results The postoperative hospital stay and infection rate had no significant difference between two groups.The plasma albumin in group A in the third day and the seventh day were higher (P ＜ 0.05).Conclusions ENSURE improved the nutritional status of AAA patients who underwent EVAR,and shorten postoperative hospital stays.