普外术后患者行肠外营养的临床疗效分析

Clinical curative effect of parenteral nutrition in general surgery patients

目的分析与探讨普外科手术后给予患者肠外营养的临床疗效。方法选取2011年4月-2012年4月湘乡市人民医院普外科收治的择期手术患者共80例,将其随机均分为2组,观察组患者术后给予肠外营养,对照组患者术后给予葡萄糖功能,比较两组患者术后一周的氮平衡变化,并对患者术后的并发症发生情况进行分析与比较。结果两组患者术后一周的氮平衡监测结果显示,观察组明显优于对照组,两组差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为2.5%(1/40),对照组患者术后并发症发生率为12.5%(6/40),两组差异有统计学意义(P<0.05)。结论对普外科患者手术后给予肠外营养,能够有效改善患者的氮平衡情况,并控制并发症发生率,改善患者术后的生活质量,使其尽快康复,值得在临床推广与应用。

[ Objective ] To analysis and discuss general surgery after surgery to give patients the clinical curative effect of parenteral nutrition. [ Methods ] Our hospital in April 2011 - April 2012 general surgery patients a total of 80 patients undergoing elective surgery patients, its were randomly divided into two groups, observation group of patients with postoperative parenteral nutrition, control group patients postoperatively function of glucose, comparing two groups of patients with postoperative week nitrogen balance changes, and for patients with postoperative complications were analyzed and compared. [ Results ] Two groups of patients with postoperative week nitrogen balance monitoring, according to the results of observation group was better than control group, the differences between the two groups have statistical significance （P〈0.05）. Observation group of patients the incidence of postoperative complications was 2.5% （l/40）, control group patients the incidence of postoperative complications was 12.5% （6/40）, the differences between the two groups was statistically significant （P〈0.05）. [ Conclusion ] General surgery patients after surgery for parenteral nutrition, can effectively improve nitrogen balance situation of patients, and control the incidence of complications, make the patients recover as soon as possible. Therefore the author believes that this method is worth in clinical promotion and application, in order to improve postoperative hfe quality and recovery in patients with general surgery.