高龄梗阻性黄疸引流术后的营养支持与康复.pdfVIP

中国肿瘤临床与康复2007年12月第14卷第6期 Chin J Clin Oneol Rehabil，December 2007，v01 14，No．6 · 567· · 康复医学 · 高龄梗阻性黄疸引流术后的营养支持与 康复 林杰 付庆才 (辽宁省肿瘤医院肝胆外科，沈阳 110042) 【摘要】 目的 探讨高龄梗阻性黄疸引流术后的营养支持与康复。方法 将50例梗阻性黄疽 患者随机分为营养支持组(25例)和对照组(25例)。营养支持组术后经空肠造瘘管通过肠内营养输 注泵输注肠内营养液；对照组采用传统方法，维持水电解质平衡，过渡到正常饮食。两组患者分别于 术前，术后3，7 d采外周静脉血测定血常规、肝功、血糖、血清蛋白、血脂等指标。结果 血胆红素、转 氨酶术后10 d左右均有所恢复，组间差异无显著性(P0．05)；营养支持组血清清蛋白、胆固醇、淋巴 细胞总数明显高于对照组，差异有显著性(P0．01)。结论 高龄梗阻性黄疸患者术后的营养支持 能较好维持和改善营养状况及促进免疫功能的早期恢复。 【关键词】 梗阻性黄疸；营养支持；引流 【中图分类号】R730．6；R730．9 【文献标识码】A 【文章编号】1005．8664(2007)06-0567-02 Nutritional support and convalescence of the old patients with obstructive jaundice after drainage 0p— eration LIN Jie，FU Qing—cai (Department of Hepatobiliary Surgery，Liaoning Tumor Hospital，Shenyang 110042，China) 【Abstract】 Objective To explore the nutritional support and convalescence of the 0Id patients with obstructive jaundice after drainage operation．Methods Fifty obstructive jaundice patients were divided into two groups in random：nutritional support group(25 patients)and control group(25 patients)．Blood rou— tine，liver function blood glucose，serum albamin，blood lipids，etc of the patients were measured on the day before operation and on 3rd and 7th days after operation．Results Bilirubin and 1iver function recovered 10 days after operation，with no significant difference between the 2 groups(P0．05)．Serum albumin，choles— terol and lymphocyte count in nutrition group were significantly higher than those in the control group，with significant difference between two groups(P0．01)．Conclusion Postoperative nutrition in the old pa— tients with obstructive jaundice may improve the nutrition condition and the immune function． 【Key words】 Obstructive jaundice；Nutrition； Drainage 梗阻性黄疸是外科常见疾病之一，这类患者营 资料与方法 养不良的发生率可高达50％一70％，常因此而增加 手术并发症和病死率。营养