复杂腹部手术后周围静脉营养的疗效分析

[摘要] 目的 探讨复杂腹部手术后周围静脉营养的临床效果。 方法 选择本院住院治疗的复杂腹部手术患者110例，将其随机分为两组，实验组55例患者于术后给予周围静脉营养治疗，对照组55例患者则不给予周围静脉营养治疗。 结果 实验组55例患者中，有1例患者发生周围静脉炎，占1.82%；3例患者在输注过程中发生肝功能的异常，占5.45%；3例患者因为原发病或术后发生严重并发症死亡，占5.45%。对照组患者发生营养不良11例，占20.00%，7例患者由于原发病或发生器官衰竭而死亡，占12.73%。两组患者在恢复时间、住院时间、并发症发生率方面差异均有统计学意义（P ＜ 0.05）。 结论 给予复杂腹部手术后的患者周围静脉营养，不仅操作简单，还可以加快患者手术的恢复、减少术后不良反应的发生，值得临床推广使用。

[关键词] 复杂腹部手术；周围静脉营养；疗效分析；并发症

[中图分类号] R619 [文献标识码] A [文章编号] 1674-4721（2012）07（a）-0055-02

Analysis on the effect of peripheral intravenous nutrition after complex abdominal surgery

ZHANG Shougang ZHANG Yunling ZANG Jiaxin

Department of General Surgery, Central Hospital of Tonghua City in Jilin Province, Tonghua 134000, China

[Abstract] Objective To study the effect of peripheral venous nutrition after complex abdominal surgery. Methods One hundred and ten patients who received complex abdominal surgery were included in this study. All patient were divided into experiment group and control group randomly, 55 cases in each group. Experiment group were given peripheral parenteral nutrition while control group were not. Results In experiment group, 1 patient had peripheral vein inflammation, accounting for 18.18%; 3 patients had liver function abnormalities during the infusion process, accounting for 5.45%; 3 patients died of primary disease or postoperative infect disease, accounting for 5.45%. In control group, 11 patients had malnutrition, accounting for 22.00%, 6 patients died of primary disease or postoperative complication, accounting for 12.73%. There were significantly differences between experiment group and control group in recovery time, hospitalization and complication rate. Conclusion Giving the complex abdominal surgery patients the treatment of peripheral parenteral nutrition is not only easy to operate, and can also speed up the recovery of the patients and reduce the occurrence of postoperative adverse events, it is worthy of clinical promotion.

[Key words] Complex abdominal surgery; Peripheral parenteral nutrition; Efficacy analysis; Complication

复杂腹部手术后，患者由于长期不能常规进食，常常伴有严重的营养不良，而周围静脉营养是复杂腹部手术后改善患者营养不良情况的主要方法。周围静脉营养在临床已经应用了好多年[1-2]，但其有效性及安全性仍然需要进一步的研究提高。笔者对本院实施复杂腹部手术的55例患者进行原发症的治疗，并给予周围静脉营养，取得了满意的效果，现总结报道如下：

1 资料与方法

1.1 一般资料

本院2008年9月～2011年9月住院治疗的复杂腹部手术患者110例，所有患者均有不同程度的营养不良情况。其中男性患者67例，女性患者43例；年龄18～63岁，平均（41.45±11.47）岁；手术类型：23例患者为严重的腹部外伤手术术后，19例患者为胃大部切除术后，19例患者为腹腔严重感染手术术后，14例患者为结肠癌根治术后，13例患者为出血坏死性胰腺炎术后，9例患者为肠坏死切除术后，6例患者为肝叶切除术后，4例患者为胰头切除术后，3例患者为肠瘘术后。将所有患者随机分为对照组与实验组，每组患者55例，两组临床资料均具有可比性（P ＜ 0.05）。