肠外高营养治疗重症溃疡性结肠炎119例分析

目的：观察肠外高营养对重症溃疡性结肠炎临床治疗效果。方法：对119例重症溃疡性结肠炎患者采取肠外静脉补充足够的营养，完全胃肠道休息。同时于治疗前后进行组织学检查。结果：经过4周治疗后临床痊愈36例（30．3％），好转65例（54．6％），无效18例（15．1％），总有效率84．9％。全部患者血清谷草转氨酶和谷丙转氨酶在正常范围，血清白蛋白治疗后明显好转（P〈0．05），组织学也明显改善。结论：重症溃疡性结肠炎肠外静脉高营养疗法是一种安全、有效可行的方法，同时可以促进组织学恢复。

Clinical Analysis of Parenteral Hyperalimentation in 119 Severe Ulcerative Colitis Patients

Objective: To study the clinical effects of parenteral hyperalimentation in severe ulcerative colitis patients. Methods: Parenteral hyperalimentation and complete gastrointestinal tract rest were given in 119 severe ulcerative colitis patients, and the histology examinations were studied before and after therapy. Results: After 4 weeks' therapy, 36 cases fully recovered (30.3%), 65 cases improved (54.6%), 18 cases inefficient (15.1%), and the total effective rate was 84.9%. Serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were in common range in all patients, the serum albumin significantly increased (P < 0.05), and the histology significantly improved. Conclusion: The parenteral hyperalimentation therapy is a safe and effective method for severe ulcerative colitis patients, and it can improve the histology of patients.