论著 Original Article

肠外营养支持应用于急性肠梗阻术后恢复的临床模式构建研究

Published at: 2016年第36卷第5期

黄梅 1 , 王联钧 1
1 恩施州中心医院外一科,湖北 恩施 445000
通讯作者 梅 黄 Email: huangmeixc@163.com
DOI: 10.3978/j.issn.2095-6959.2016.05.023
基金:

摘要

目的:构建急性肠梗阻手术后恢复应用肠外营养支持的临床模式。方法:选取2015年1月至2015年12月在我院实施手术治疗的急性肠梗阻患者56例作为研究组,采用肠外营养支持方法,另选取2014年1月至12月在我院实施手术治疗的急性肠梗阻患者47例作为对照组,采用肠内营养支持,分析两组患者不同营养支持方式的恢复效果。结果:研究组患者胃肠减压量及肛门排气时间低于对照组患者,而术后7 d血浆白蛋白浓度高于对照组,而且研究组患者的住院费用和住院时间均少于对照组,与对照组数据比较差异较大,具有统计学意义(P<0.05)。结论:在急性肠梗阻手术后应用肠外营养支持能够促进患者肠功能的恢复,缩短患者的住院时间,减少住院费用,提高患者机体免疫力,值得在临床中推广应用。


Clinical mode construction of parenteral nutritional support applied in acute intestinal obstruction postoperative recovery

Abstract

Objective: To build the application clinical patterns of parenteral nutrition support in acute intestinal obstruction postoperative recovery. Methods: Selected 56 patients with surgical treatment of acute intestinal obstruction from January 2015 to December 2015 as study group, in which patients received parenteral nutrition support treatment; 47 cases with surgical treatment of acute intestinal obstruction from January to December, 2014 was selected as control group, in which patients received enteral nutrition support treatment, analyzed the recovery of two groups with different way of nutritional support effect. Results: The gastrointestinal decompression and anal exhaust time in the study group were lower than those in the control group, and postoperative 7 days plasma albumin concentrations in the study group were higher than those in the control group, and hospitalization expenses and hospitalization time in the study group were less than those in the control group, all differences were statistically significant (P<0.05). Conclusion: After the surgery of acute intestinal obstruction, application of parenteral nutrition support can promote the recovery of intestinal function, shorten the hospitalization time, reduce hospital costs, improve the patients’ immunity, and is worth popularizing in clinical application.


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引用

引用本文: 梅 黄, 联钧 王. 肠外营养支持应用于急性肠梗阻术后恢复的临床模式构建研究[J]. 临床与病理杂志, 2016, 36(5): 652-655.
Cite this article as: HUANG Mei, WANG Lianjun . Clinical mode construction of parenteral nutritional support applied in acute intestinal obstruction postoperative recovery[J]. Journal of Clinical and Pathological Research, 2016, 36(5): 652-655.