低热量胃肠外营养治疗普外营养不良患者的疗效分析

Treatment of Low-calorie Parenteral Nutrition in Patients with General Surgery Efficacy of Malnutrition

目的研究低热量胃肠外营养治疗的效果,为临床提供可供参考的依据。方法按照入组的先后随机分为治疗组(低热量肠外营养)和对照组,两组均在第1天开始给予相应方案的肠外营养支持治疗,持续5～7d。于营养前1d及后第8天,检测体质量、血清白蛋白、以及进行与营养状态相关疲劳评分。结果治疗前后,两组患者的体质量、白蛋白均有降低,但对照组降低有统计学意义(P<0.05);疲劳评分显示,两组治疗后分质均有升高,出现疲劳程度加重,但对照组治疗前后有统计学意义(P<0.05);治疗组与对照组治疗后评分比较也有显著差异(P<0.05)。结论采用低热量方式的治疗,对患者的营养状态有显著的治疗作用,值得临床进一步推广和研究。

Objective Of low-calorie parenteral nutrition treatment effect, provide reference for clinical basis. Methods Into groups according to the sequence of randomly divided into treatment group （low-calorie parenteral nutrition） and the control group were 1 day to give the corresponding parenteral nutrition support program for 5 to 7 days. In nutrition after 1 day before and 8 days, testing body weight, serum albumin, and nutritional status were associated with fatigue scores. Results Before and after treatment, both groups of patients with body weight and albumin were lower. but were decreased significantly （P0.05）; fatigue scores showed that both groups increased after treatment, quality grading, the aggravation of fatigue, But the control group before and after treatment was statistically significant （P0.05）; treatment group and control group scores after treatment there was a significant difference （P0.05）. Conclusions Low-calorie way of treatment, the patient＇s nutritional status have a significant therapeutic effect, is worthy of further promotion and research.