天津市大医院外科患者接受肠外营养或电解质输液的比例及组分调查  

A Survey on Parenteral Nutrition or Electrolytic Treatment in Surgical Patients in Big Tianjin Hospitals

作　　者：陈鄢津[1] 傅强[2] 周振4理 崔乃强[3] 汪立今[4] 蒋朱明[5] 

机构地区：[1]天津南开医院胃肠外科,天津300100 [2]天津南开医院外科重症监护病房,天津300100 [3]天津南开医院胆胰外科,天津300100 [4]天津医科大学第二医院普外科,天津300061 [5]中国医学科学院中国协和医科大学北京协和医院肠外肠内营养科,北京100730

出　　处：《中国临床营养杂志》2006年第4期256-259,共4页Chinese Journal of Clinical Nutrition

摘　　要：目的了解天津市大医院外科患者接受肠外营养或电解质输液治疗的比例及组分。方法对天津南开医院和天津医科大学第二医院普通外科住院非急诊患者进行连续抽样,调查7天中所有患者输液治疗医嘱单,登记输液的组分、输液方法、疾病诊断。共227例患者纳入本研究,按是否手术分为两部分,每部分再分为营养支持和电解质输液治疗两组。结果手术患者与非手术患者的比例为174/53。手术患者及非手术患者应用营养支持的比例分别为92/174(52·87%)和20/53(37·74%)(P<0·05)。手术患者营养支持组平均每日液体入量和葡萄糖用量(2286·50ml/d和74·02g/d)显著高于电解质输液组(1559·00ml/d和52·71g/d)(P<0·05);非手术患者营养支持组平均每日液体入量和葡萄糖用量(2107·70ml/d和79·62g/d)亦显著高于电解质输液组(1388·80ml/d和36·72g/d)(P<0·05)。结论天津市大医院外科患者营养支持的比例与目前国内基本外科需要营养支持的比例(20·7%)相比偏高,以手术后患者为甚。营养支持患者的液体输注量和葡萄糖应用量均高于电解质输液患者。Objective To investigate the information of nutritional or electrolytic treatment for surgical patients in big Tianjin hospitals. Methods A total of 227 surgical inpatients in Tianjin Nankai Hospital and in the Second Hospital of Tianjin Medical University were surveyed. The emergency inpatients were excluded. All these 227 inpatients were divided into operated group （n = 174） and non-operated group （n =53 ）, and then each group was further divided into 2 subgroups： parenteral nutrition subgroup and electrolytes treatment subgroup. The composition of injection fluids, injection methods, and diagnosis were recorded. Results The rate of parenteral nutrition in the operated group and non-operated group was 92/174 （52. 87% ） and 20/53 （37.74%） respectively （ P 〈 0. 05 ）. In the operated group, the average amount of injection fluid and glucose in parenteral nutrition group （2 286.50 ml, 74.02 g/d ） was significantly higher than in electrolytic treatment group （1 559. 00 ml, 52.71 g/d） （P 〈0.05）. In non-operated group, the average amount of injection fluid and glucose in parenteral nutrition group （2 107. 70 ml, 79. 62 g/d） was significantly higher than in electrolytic treatment group （ 1 388. 80 ml, 36. 72 g/d） （P 〈 0. 05）. Conclusion The rate of parenteral nutrition in surgical patients is relatively higher than the average level （20. 7% ） in China, especially in those post-operational patients. The application of injection fluid and glucose in parenteral nutrition supported patients is unnecessarily overdosed.

关 键 词：外科 肠外营养 电解质 输液 调查 

分 类 号：R605[医药卫生—外科学]