复杂腹部手术后周围静脉营养疗效研究.docVIP

复杂腹部手术后周围静脉营养疗效研究[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 s