重症肝炎患者行人工肝血浆置换术前饮食的控制

Preoperative Diet control of patients with severe hepatitis before plasma exchange

目的探讨重症肝炎患者行人工肝血浆置换术前对其饮食进行控制的临床意义。方法对濮阳市第五人民医院106例重症肝炎患者,按照入院顺序的单双号进行编号,分为实验组和对照组。对照组患者术前给予常规的重症肝炎患者饮食指导,而对实验组患者则进行严格的控制饮食。观察术前术后两组患者的生化指标和并发症的发生情况,对比术后两组患者的生理指征,以及发生不良反应的情况,再通过统计学的方法对统计结果进行处理。结果两组患者术前术后的生化指标差异无统计学意义,并发症严重程度的差异有统计学意义,生理指征差异有统计学意义。结论重症肝炎人工肝血浆置换术前对患者进行严格的饮食控制对患者的生化指标无明显影响,对患者的生理指征产生不利影响,但在一定程度上可以减少并发症的发生频率。重症肝炎人工肝血浆置换术前是否应该进行严格的饮食控制还有待进一步研究。

Objective To investigate the clinical significance of patients with severe hepatitis,surgery to control their diet before plasma exchange.Methods Totally 106 cases of severe hepatitis in our hospital patients,according to the order of the odd and even number for admission number,divided into experimental and control group.Control group received routine preoperative dietary guidance in patients with severe hepatitis,while the experimental group were strictly controlled diet.Observed two groups of patients with preoperative and postoperative biochemical parameters and incidence of complications,compared two groups of patients after the physical indications,and the case of adverse reactions,and through statistical methods processing statistical results.Results There were biochemical markers before and after surgery showed no statistically significant differences,the severity of complications was statistically significant,difference was significant physiological indications.Conclusions Severe hepatitis,preoperative plasma exchange in patients with strict diet control showed no significant biochemical effects,adverse effects on physical indications of patient,but to some extent,can reduce the incidence of complications.Severe hepatitis preoperative plasma exchange should be strict diet control or not remains to be further studied.