肠外营养支持在老年腹部手术病人围手术期的临床应用  

Clinical use of parenteral nutrition in elderly abdominal patients during perioperative period

作　　者：徐家法[1] 徐宝宏[1] 王信富[1] 冯刚[1] 童波[1] 

机构地区：[1]绍兴市人民医院普外科

出　　处：《肠外与肠内营养》1998年第4期205-207,共3页Parenteral & Enteral Nutrition

摘　　要：目的：研究老年腹部手术病人围手术期肠外营养与普通输液的代谢效应。方法：３２例老年腹部外科病人分成两组，肠外营养组接受肠外营养，非蛋白热量总量１０４．５～１４６．４ｋＪ／（ｋｇ·ｄ），热氮比为４１８～６２７ｋＪ∶１ｑ，糖脂比为４∶６～５∶５。普遍输液组接受葡萄糖供能为主的治疗，术前２天和术后８天观察体重，血浆白蛋白、转铁蛋白、前白蛋白，总淋巴细胞计数，氮平衡等。结果：肠外营养组前白蛋白、氮平衡比术前增加，而普通输液组的体重、前白蛋白下降，治疗后两组比较差异有统计学意义（Ｐ＜０．０５或Ｐ＜０．０１）。Objectives:To study the effectiveness of parenteral in elderly abdominal patients during perioperative period. Methods:Thirty two cases of elderly abdominal patients were randomly devided into pareteral nutrition(PN) group and the general intravenous infussion(C) group.Each group had 16 cases.The total caloric value was 104.5￣146.4 kJ/(kg·d) in the PN group,with nitrogen/energy=1 g∶418￣627 kJ,glucose/fat=4∶6￣5∶5.The C group only received routine infusion. Results:Body weight(BN),prealbumin(prealb)and nitrogen balance in the PN group increased respectively while BN prealb and nitrogen balance of C group decreased.Differences between two groups were significant( P <0.05 or P < 0.01 ). Conclusions:Perioperative parenteral nutrition can improve nutrition alstatus and be beneficial to the elderly patients.

关 键 词：胃肠外营养 营养支持 围手术期 老年 

分 类 号：R459.3[医药卫生—治疗学]