手术后应激期代谢支持治疗对改善病人血清蛋白和氮平衡的临床研究

Effects of Metabolic Support Therapy on Serum Albumin and Nitrogen Balance of Patients after Surgery

选择80例腹部手术后病人为观察对象,比较全静脉营养代谢支持模式与传统的术后输液模式对术后应激期病人氮平衡和血清蛋白的影响。结果表明:代谢支持治疗能有效地维持病人血清蛋白水平,促进血清蛋白水平回升,并能逆转手术创伤后应激期蛋白质分解增加所致的严重负氮平衡。对病人生理机能与组织结构的恢复有利。本文就观察结果,对腹部中型手术后应激期代谢特点及营养补充的原则及其合理性进行了讨论。

80 patients receiving abdominal operation were selected and observed for effects of intravenous nutrition (IVN) and traditional postoperative infusion on nitrogen balance and serum albumin. The results show that metabolic support therapy can effectively maintain serum albumin level of patients, promote elevation of serum albumin level and reverse negative nitrogen balance caused by surgical trauma. Consequently, it proves of great benefit to recovery of physiological function and tissue structure. In terms of the results, this article also discusses metabolic trait of the stress period, and the principle and rationale of nutritional support after abdominal operation.