能全力在溃疡性结肠炎患者中营养支持应用研究.docVIP

能全力在溃疡性结肠炎患者中营养支持应用研究 　　[摘要] 目的 探讨能全力在溃疡性结肠炎患者肠内营养支持中的重要性。 方法 2015年1～4月选择在我院成人消化内科住院的30例溃疡性结肠炎患者，采用能全力肠内营养，观察患者治疗前后的体重、白蛋白水平、血红蛋白及生命体征变化及大便次数。 结果 治疗3个月后能全力不仅能明显改善患者的营养状况，而且能有效控制腹泻的发生。治疗后的白蛋白、血红蛋白及体重水平同治疗前的水平比较差异有统计学意义（t=4.025、4.246、4.104，P=0.023、0.025、0.027）。治疗后同治疗前的生命体征比较差异无统计学意义（P0.05）。 结论 对于溃疡性结肠炎患者，选择能全力肠内营养支持是可行的。肠内营养是符合生理需求的、且并发症少、费用低。既能减少溃疡性结肠炎患者的肠道损伤又能满足基本的营养需求，也能节约患者的治疗费用，可广泛应用。 　　[关键词] 能全力；溃疡性结肠炎；肠内营养；营养指标 　　[中图分类号] R285.5 [文献标识码] A [文章编号] 1673-9701（2016）16-0013-04 　　[Abstract] Objective To explore the importance of Nutrison Liquid support in patients with ulcerative colitis. Methods From January to April 2015， 30 cases of ulcerative colitis in the Department of internal medicine of adult digestion in our hospital were choosed， Nutrison Liquid could be usded in Enteral nutrition， the body weight， albumin level， hemoglobin and vital signs of the patients were observed before and after treatment. Result After 3 months treatment， it can not only improved the nutritional status of the patients， but also controled the occurrence of diarrhea. After treatment， the levels of serum albumin， hemoglobin and body weight were significantly different from that before treatment（t=4.025， 4.246， 4.104， P=0.023， 0.025， 0.027）. No statistical significance after treatment with the treatment of life before life signs（P0.05）. Conclusion For patients with ulcerative colitis，the choice of Nutrison Fibre for Enteral nutrition was feasible. Enteral nutrition was in line with the physiological needs，and the complications wer little， and was low cost. it Can reduced the intestinal damage in patients with ulcerative colitis and can meeted the basic nutritional needs， also it can saved the cost of treatment of patients. It can be widely used. 　　[Key words] Nutrison liquid； Ulcer ative colitis； Enteralnutrition； Nutritional index 　　慢性非特异性溃疡性结肠炎简称溃疡性结肠炎，在我国的发病率呈现逐年上升的趋势[1-3]，其主要病变的部位是直肠和结肠，呈慢性炎症性病变，以溃疡为主，是以腹泻、腹痛、黏液脓血便和里急后重为其主要临床表现，病情轻重不一，并且多为反复发生且（或）长期迁延，目前具体发病原因不明，病程多呈慢性[4-7]。日常普