老年梗阻性结肠癌病人围手术期的肠外营养支持

Parenteral nutritional support in elderly patients with obstruction caused by colon cancer

目的 :探讨老年梗阻性结肠癌病人围手术期肠外营养支持的重要性以及合理应用。 方法 :5 5例年龄 >6 0岁的梗阻性结肠癌病人围手术期进行肠外营养支持 ,非蛋白质热量摄入平均为 85 .4kJ/ (kg·d) ,非蛋白质热量∶氮量平均为 118∶1。观察肠外营养支持前后营养状况的改变。 结果 :前白蛋白和转铁蛋白在肠外营养支持后有明显的改善 (P <0 .0 5 ) ,其他营养指标及肝肾功能无明显变化或在正常范围内。 结论 :肠外营养支持是老年梗阻性结肠癌病人围手术期重要的治疗手段之一。维持内环境平衡 ,低脂、低糖的肠外营养支持对老年病人是安全、有效的。

Objectives:To study the importance and appropriate application of parenteral nutritional support in elderly patients with obstruction caused by colon cancer. Methods:Fifty five patietns (age>60 years) received parenteral nutritional support in the period of perioperation.When parenteral nutrition was applied,average non protein calorie intake was 85.4 kJ/(kg·d), and NPC∶N value was 118∶1. Results:PA,TRF and electrolyte were significantly increased after parenteral nutritional support.The nutritional indices did not change and were kept within normal range during parenteral nutrition. Conclusions:Parenteral nutrition is one of the important perioperative treatments in elderly patients with obstruction caused by colon cancer.It is safe and effective to use parenteral nutrition with low fat and glucose in elderly patients.