摘要
目的:探讨并制订合理有效的营养支持方法,提高肝移植病人对手术的耐受力,促进术后的恢复.方法:对33例肝移植病人围手术期的营养状况和营养支持方法进行回顾性分析.术后早期(1～3天)采用肠外营养(PN),并辅以人血清蛋白和血浆;在术后第4～5天开始肠内营养(EN)结合PN,并逐渐过渡至完全经口饮食.术后使用精氨酸(Arg)辅助治疗7～11天.结果:33例病人接受围手术期营养支持后,除有2例病人分别于术后第10、25天死于急性排斥反应、多器官功能障碍和1例谷丙转氨酶(GPT)升高外,其余病人的血清总蛋白(TP)和清蛋白(ALB)均有不同程度的升高,GPT、总胆红素(T-BIL)和结合胆红素(D-BIL)降至正常范围,其中第7、14和21天检测的TP、ALB、GPT、T-BIL水平与术后第1天比较差异有显著性意义(P＜0.05).T-BIL第3天与术后第1天比也有显著差异(P＜0.05),D-BIL第3、7和21天与术后第1天比差异有显著性意义(P＜0.05).结论:合理的围手术期营养支持可明显促进肝移植病人术后的恢复.
Objective: To investigate the effective methods of nutritional support, to improve the endurance for the operation and to promote postoperative recovery in patients undergoing liver transplantation. Methods: The perioperative nutritional condition and nutritional-support methods were reviewed in 33 patients with liver transplantation. In the first 3 postoperative days, parenteral nutrition (PN) was used in combination with infusion of human albumin and plasma. From the 4th to 5th day, enteral nutrition (EN) was used in combination with PN. Finally, the complete oral intake of food was applied. Results: Of 33 patients, there were 30 patients whose serum levels of total protein (TP) and albumin (ALB) were elevated, and glutamic-pyruvic transminase (GPT), total-bilirubin (T-BIL) and combined-bilirubin (D-BIL) were descended after nutrition support. Conclusion: The operative endurance and postoperative recovery were improved effectively by proper nutritional support in liver transplantation patients.
出处
《肠外与肠内营养》
CAS
2005年第4期196-200,共5页
Parenteral & Enteral Nutrition
关键词
肝移植
肠内营养
肠外营养
<Keyword>Liver transplantation
Enteral nutrition
Parenteral nutrition
