腹部外科危重患者营养支持合理化应用

Rationalized nutritional support for severe abdominal surgery patients.

目的 研究腹部外科危重患者 ,实施阶段性、合理性个体化营养支持的疗效。方法 97例腹部外科手术治疗的危重患者 ,根据不同疾病病理阶段、代谢特征、应激状况依次实施肠外营养 (PN)、肠内营养 (EN) ,个体化治疗中可循环式再转入PN。结果 营养支持时间 5～ 6 5天 ,全组患者顺利渡过应激期 ,应激期后病程期间恢复顺利。结论 建立营养支持对腹部外科危重患者的阶段性、合理性个体化应用模式 ,能显著减少并发症发生率 。

Objective To observe the effects of staged, rationalized, individualized nutritional support given to the severe patients undergoing abdominal operation.Methods Ninety seven severe patients undergoing abdominal operation received paraenteral nutrition and enteral nutrition successively according to different clinical couses, metabolism features and stress status. Nutritional surport was circlely turned to paraenteral nutrition again in the individualized therapy course.Results The nutritional support time was 5 to 65 days. All patients overcame the stress and recovered successfully.Conclusion The staged, rationalized, individualized nutritional support mode for the severe abdominal surgery patients could significantly decrease the incidence of complications and increase the successful rate of saving severe patients.