补充性肠外营养对重症患者临床结局的影响  

Clinical effects of supplemental parenteral nutrition in critically ill patients

作　　者：陆文婷 张佳欢 Wen-Ting Lu Jia-Huan Zhang(Intensive Care Unit, Tongde Hospital of Zhejiang Province, Hangzhou 310002, Zhejiang Province, China)

机构地区：[1]浙江省同德医院重症医学科,浙江省杭州市310002

出　　处：《世界华人消化杂志》2017年第7期644-648,共5页World Chinese Journal of Digestology

摘　　要：目的探讨补充性肠外营养(supplemental parenteral nutrition,SPN)对重症患者的临床价值.方法回顾性分析浙江省立同德医院2014-06/2016-06收治的108例重症患者的临床资料.根据是否实施肠内营养(enteral nutrition,EN)联合SPN,分为单纯EN组(对照组)和EN联合S P N组(观察组),比较两组患者的临床资料,观察SPN对重症患者的临床价值.结果与对照组相比,经SPN治疗1 wk后,观察组血浆白蛋白、前白蛋白及血红蛋白水平均明显高于对照组,差异有统计学意义(P<0.05);两组患者上臂围的比较无统计学差异(P>0.05).观察组感染发生率及住院时间明显低于对照组,差异有统计学意义(P<0.05);观察组及对照组患者死亡率的比较无统计学差异(P>0.05).结论SPN能有效改善患者的营养不良状态,减少感染发生率,缩短住院时间.AIM To investigate the clinical value of supplemental parenteral nutrition（SPN） in critically ill patients.METHODS The clinical data of 108 critically ill patients hospitalized at our hospital from June 2014 to June 2016 were analyzed retrospectively.According to the method of nutrition used,the patients were divided into an enteral nutrition（EN） group（control group） and an EN combined with SPN group（observation group）.The clinical effects were compared between the two groups.RESULTS After 1 wk of SPN,serum albumin,prealbumin and hemoglobin were significantly higher in the observation group than in the control group（P〈0.05）.The upper arm circumference between the two groups had no significant differences（P〈0.05）.The incidence of infection and hospitalization time in the observation group were significantly lower than those of the control group（P〈0.05）.The mortality of two groups was not statistically different（P〉0.05）.CONCLUSION SPN can effectively improve the nutritional status of critically ill patients,reduce the incidence of infection,and shorten the length of hospital stay.

关 键 词：补充性肠外营养 肠内营养 重症 营养不良 并发症 

分 类 号：R459.7[医药卫生—急诊医学]