围手术期肝硬化患者肠外营养支持的意义  

Significance of parenteral nutritional support in perioperative patients with liver cirrhosis

作　　者：褚延魁[1] 吴敏良[1] 王胜智[1] 康志龙[1] 

机构地区：[1]解放军第三○二医院普通外科中心,北京100039

出　　处：《传染病信息》2014年第4期249-252,共4页Infectious Disease Information

摘　　要：肠外营养对于肝硬化患者的围手术期康复起至关重要作用。肝硬化患者的肝功能情况较差,进而影响术后恢复和手术切口愈合。患者术后肝功能恢复需要营养支持,特别对于术后不能经口进食的肝硬化患者,肠外营养成为维持生命的惟一能量来源。本文主要通过复习文献,总结肝硬化患者围手术期肠外营养支持治疗的特点,探讨是否可通过改变肠外营养的配比来减少营养的不必要丢失,为肝硬化患者的手术康复提供基础的能量支持方案。Parenteral nutrition plays a vital role in the perioperative recovery for patients with liver cirrhosis. Liver function is generally poor in patients with liver cirrhosis, which has an influence on surgery recovery and the healing of the incision. Postopera-tive recovery of liver function requires certain nutritional support, especially for the cirrhotic patients who can not eat after surgery, and parenteral nutrition is the only energy source for sustaining life. Bases on the review of the literatures, the authors mainly summarize the characteristics of parenteral nutrition support therapy for perioperative patients with liver cirrhosis, and explore whether unnecessary loss of nutrition can be avoided by changing the composition and ratio of parenteral nutrition, so as to provide an energy support regimen for surgery recovery in cirrhotic patients.

关 键 词：肠外营养 肝硬化 围手术期 

分 类 号：R459.3[医药卫生—治疗学]