全胃肠外营养在充血性心力衰竭病人中的早期应用

The Early Clinical Use of Total Parenteral Nutrition in the Congestive Heart Failure Patients

目的 探讨在充血性心力衰竭病人中 ,早期全胃肠外营养 (TPN)的临床应用 .方法 实验组 ( 17例 ) ,早期应用TPN ,经中心静脉导管 2 4小时持续缓慢静滴 ;对照组 ( 15例 ) ,采用普通饮食 ,为期 1周 .在治疗前后对心衰状况、心律失常、血清白蛋白、氮平衡情况进行监测 ,并分别比较 .结果 TPN早期应用心衰的效果显著提高 ,各项营养指标均明显优于对照组 .结论 在心衰病人中 ,早期应用TPN切实可行 。

Objective This prospective study was designed to appraise the early clinical use of total parenteral nutrition (TPN) in the congestive Heart failure(CHF) patients.Methods 32 cases were collected and divided randomly into TPN group (17 cases) and general group(15 cases).The TPN group suppied TPN slowly through the central venous catheter for 7 days and the general group just only supported with common method.The CHF state,cardiac arrhythmia,serum albumin,and nitrogen blance were supervised before treatment and 7th day after treament.Then campared respectively. Results Treatment response of the CHF was more effective and the nutrition appraisal was significantly better in TPN group.Conclusions There is helpful for the early use of TPN in the CHF patients for the supply of sufficient nutrition support and to improve the condition of structure and function.In short,it is an important role for TPN in the treatment of the CHF.