慢性放射性肠损伤病人的围手术期营养支持  

Perioperative nutrition support in patients with chronic radiation intestinal injury

作　　者：郑磊[1] 李幼生[1] 王剑[1] 李元新[1] 倪小冬[1] 李宁[1] 黎介寿[1] 

机构地区：[1]南京大学医学院临床学院(南京军区南京总医院)解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2012年第2期65-67,共3页Parenteral & Enteral Nutrition

基　　金：国家自然科学基金资助课题(81072438)

摘　　要：目的:探讨慢性放射性肠损伤(CRII)病人围手术期营养支持情况。方法:采用主观全面评价(SGA)系统回顾性总结206例CRII病人围手术期营养支持情况,并对CRII病人的营养状况进行评估。结果:206例CRII病人接受手术229例次,86.16%的病人入院时有营养不良。经围手术期营养支持和手术治疗后,病人的营养状况得到了明显改善,但营养不良发生率仍然较高。结论:CRII病人的营养不良发生率甚高,围手术期营养支持时间较长,围手术期营养支持和手术能明显改善病人的营养状况。Objective： To investigate the potential role of perioperative nutritional support in the management of patients with chronic radiation intestinal injury（CRII）.Methods： From the 2000 to 2010,206 patients with CRII underwent operations were analyzed,retrospectively.The nutritional status was evaluated using SGA sheet.The information of perioperative nutrition support was collected.Results： 206 CRII patients received 229 surgical therapies.Malnutrition evaluated by the SGA sheet was 86.16% on admission.Perioperative nutrition support and surgery improved nutrition status,however,the incidence of malnutrition was still very high.Conclusion： The rate of malnutrition in CRII patients is much high.The patients need more time for perioperative nutrition support.Perioperative nutrition support and surgery can improve the nutritional status in CRII patients.

关 键 词：慢性放射性肠损伤 围手术期 营养支持 肠外营养 肠内营养 

分 类 号：R818.74[医药卫生—放射医学] R459.3[医药卫生—临床医学]