CAJ | 학술논문

目的：探讨强化营养支持治疗对促进肝硬化食管静脉曲张内镜治疗者创面愈合的影响。方法：将136例肝硬化合并食管静脉曲张内镜治疗患者平均分为研究组与对照组。对照组采用常规方法治疗，研究组在此基础上采取强化营养干预。结果：治疗后2周后，研究组创面愈合的总有效率为97.06%，显著高于对照组的83.82%；研究组血浆白蛋白及凝血酶原时间水平明显优于对照组；研究组有28例患者可见注射点溃疡，明显少于对照组的52例；对照组有15例患者出现注射点溃疡轻微渗血，明显高于研究组的4例，两组比较差异具有统计学意义（P<0.05）。结论：肝硬化合并食管静脉曲张内镜治疗者采用强化营养干预，可以有效促进创面愈合的速度，减少再出血风险，改善肝功能。
목적：탐토강화영양지지치료대촉진간경화식관정맥곡장내경치료자창면유합적영향。방법：장136례간경화합병식관정맥곡장내경치료환자평균분위연구조여대조조。대조조채용상규방법치료，연구조재차기출상채취강화영양간예。결과：치료후2주후，연구조창면유합적총유효솔위97.06%，현저고우대조조적83.82%；연구조혈장백단백급응혈매원시간수평명현우우대조조；연구조유28례환자가견주사점궤양，명현소우대조조적52례；대조조유15례환자출현주사점궤양경미삼혈，명현고우연구조적4례，량조비교차이구유통계학의의（P<0.05）。결론：간경화합병식관정맥곡장내경치료자채용강화영양간예，가이유효촉진창면유합적속도，감소재출혈풍험，개선간공능。
Objective:To discuss the effect of fortified nutrition on facilitating wound healing of patients in endoscopic therapy for cirrhosis and esophageal varices. Method:136 patients in endoscopic therapy for cirrhosis and esophageal varices were randomly divided into two groups. The control group was adopted the way of normal therapy. The treatment group was adopted the way of intervention of fortified nutrition on that basis. Result:After the treatment,the whole effective rate of wound healing in the treatment group was 97.06%,evidently higher than that of 83.82%in the control group. In addition,the treatment group was better than the control group in the respect of the plasma albumin and prothrombin time. In the treatment group,there were 28 patients with visible injection site anabrosis,which was obviously less than the 52 patients in the control group. There were 15 patients with slight bleeding on injection site anabrosis in the control group,which was obviously more than the 2 patients in the treatment group. The difference between the two groups was statistically significant(P<0.05). Conclusion:Adopting the intervention of fortified nutrition on patients in endoscopic therapy for cirrhosis and esophageal varices can effectively accelerate the speed of wound healing and improve liver functions.