贲门周围血管离断术后并发腹泻的病人营养治疗及相关原因分析  

Nutritional therapy and analysis of related factors for postoperative diarrhea after cardiac peripheral vascular disconnection

作　　者：周标[1] 赵振国[1] 刘双海[1] 

机构地区：[1]东南大学附属江阴市人民医院肝胆外科,江苏江阴214400

出　　处：《肠外与肠内营养》2015年第5期279-281,共3页Parenteral & Enteral Nutrition

摘　　要：目的:分析贲门周围血管离断术后病人腹泻的病因,并对其营养治疗后的效果进行总结。方法:收集近7年间行贲门周围血管离断术治疗门静脉高压症的病人,评估病人的营养状况,并对其营养治疗前后的相关肝功能指标、营养指标、电解质水平进行自身对照,评价营养治疗的效果。结果:经过肠外联合肠内营养治疗后,病人腹泻得到治愈。比较营养治疗前后相关指标(白细胞计数、血红蛋白、血清清蛋白、前清蛋白、转铁蛋白、谷丙转氨酶、肌酐、钾、钠)均明显好转,与治疗前比有显著性差异(P<0.05)。结论:门静脉高压症术后并发腹泻的病人给予积极营养治疗有利于改善机体的营养状况。Objective ： The cause of diarrhea in patients with cardiac peripheral vascular discon- nection, and the effect of nutrition treatment were analysed. Methods ： The patients with portal hyper- tension treated by cardiac peripheral vascular disconnection were enrolled during the last 7 years. The nutritional status of patients was evaluated, and the self-control experiment was conducted for related indexes. Results： After parenteral and enteral nutrition therapy, diarrhea was cured, liver function, nutritional status and electrolyte levels got better （P 〈 O. 05 ）. Conclusion： Nutritional therapy can help to improve nutritional status and is an effective treatment for patients with portal hypertension associ- ated with postoperative diarrhea.

关 键 词：营养治疗 腹泻 贲门周围血管离断术 并发症 

分 类 号：R656.6[医药卫生—外科学]