肠外营养支持在外科临床观察

　　摘　要：目的采用肠外营养辅助治疗重症胰腺炎、食道癌、胃肠道手术、肠瘘等患者的临床观察。方法在83例患者用TPN营养支持后，临床监测总蛋白、白蛋白、血糖、血脂、体重、氮等各项指标。结果给予TPN营养支持后，达到了充分有效利用效果。增强机体的适应状态，有效的维持了正氮平衡，补充了白蛋白、血红蛋白等的丢失量，明显改善代谢状态，抑制糖异生及再循环，减少脂肪及氮的丢失，使总蛋白合成增加，肌蛋白分解减少，机体处于正氮平衡。结论较快的改善营养状态，降低并发症的发生，对患者康复和生命的延续创造了条件。

    Clinical observation of parenteral nutrition in surgery

    pENG Defang,YU Aiping,ZHUANG Lujiang,JIANG Yumin(Pharmacy Deparment of Xinjiang Autonomy Region Hopsital)

　　Abstract： 83 patients with severe pancreatitis, cancer of esophagus, gastrointestipal surgery and intestinal perforation were treated with tPN, clinical level of total protein, albumin, blood sugar and fat, body weight and nitrogen were measured. The results showed patients with TPN acquired active effects, such as fully enhancement of the utilization and adaptability of body, maintenance of positive nitrogen balance effectively, complement of the lost of albumin and hb, improvement of metabolic condition, inhibition of glyconegenesis, reduction of the lost of fat and nitrogen and the decomposition of muscle protein. These improve the nitrogen condition, maitain the body in the positive. nitrogen balance, reduce thecllurence of complication and pro ide the better condition for the health.