饮食控制在血浆置换术治疗重症肝炎中的应用

Application of the alimentary on severe hepatitis patients treated with plasmapheresis

目的观察饮食控制对血浆置换治疗重症肝炎疗效的影响并探讨其可能机制。方法69例重症肝炎患者分为对照组和饮食控制组,饮食控制组按照病人营养需要严格控制饮食,观察病程、并发症的发生以及血清中微量元素的变化。结果饮食控制组病人的病程缩短、并发症的发生频率、程度以及血清Ca、Mg、Zn、Se的含量均低于对照组(P<0.05)。结论合理的饮食控制可通过改善患者营养状况,提高血浆置换疗法对肝炎患者的疗效。

Objective To explore the effects and mechanism of alimentary on severe hepatitis patients treated with plasmapheresis. Methods 69 severe hepatitis patients were averagely divided into control group and alimentary group randomly. Patients of alimentary group are guided in food and drink according to their requirement. Their courses of disease, complication and. contents of trace elements in blood serum were measured by relative tests. Results Courses of disease of alimentary patients were dissertated and complications were decreased in frequency or lessened, contents of Ca, Mg, Zn, Se in blood serum were significantly decreased （P 〈 0.05）. Conclusions limentary can elevate the therapeutic effect of severe hepatitis patients treated with plasmapheresis by improving nutritional state of patients.