加强的全肠外营养支持应用于恶性梗阻性黄疸术后患者的效果

Objective To investigate the effect of enhanced total parenteral nutrition support to patients after accepting surgery operation for malignant obstructive jaundice.Methods Randomly,72 cases of patients with malignant obstructive jaundice having a body capacity score of ≤4 before the operation were divided into two groups,i.e.,the enhanced total parenteral nutrition group of 36 patients,and the control group of 36 patients.For the enhanced total parenteral nutrition group,total parenteral nutrition (TPN) had been given from three days before the operation,and for the control group,TPN was given from 1 day after the operation.The following items were observed,including serum total proteins,albumin level,pre-albumin level,transferrin level,as well as the time for exhausting by anus after the operation,the occurrence rate of eomplieatious,and the days for staying in hospital after the operation.Results The observed index of the enhanced group at the third day and the 12th day are all higher than those of the control group.The time for anus exhausting between the two groups did not show a significance in statistics.And the occurrence rate of complications and the days for staying in hospital after the operation in the enhanced group were less than those of the control group.Conclusions Giving TPN to the patients with malignant obstructive jaundice three days before the operation,will help the patients recover and reduce complications and days for staying in hospital.

Effect of application of enhanced total parenteral nutrition support to patients after accepting surgery operation for malignant obstructive jaundice