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我院普外科术后患者营养支持现状的调查分析

朱明辉,高义玲,陈军,马静   

  1. 东南大学医学院附属南京同仁医院,东南大学医学院附属南京同仁医院,东南大学医学院附属南京同仁医院,东南大学医学院附属南京同仁医院
  • 收稿日期:2018-09-06 修回日期:2018-11-20 出版日期:2018-12-25

Investigation and Analyzation of Postoperative Nutritional Support of General Surgical Patients in Our Hospital

ZHU Minghui,GAO Yiling,CHEN Jun and MA Jing   

  1. The Affiliated Nanjing Tongren Hospital of Southeast University Medical College,Jiangsu Nanjing 211102,The Affiliated Nanjing Tongren Hospital of Southeast University Medical College,Jiangsu Nanjing 211102,The Affiliated Nanjing Tongren Hospital of Southeast University Medical College,Jiangsu Nanjing 211102,The Affiliated Nanjing Tongren Hospital of Southeast University Medical College,Jiangsu Nanjing 211102
  • Received:2018-09-06 Revised:2018-11-20 Online:2018-12-25

摘要: 目的:探讨我院普外科术后患者给予营养支持治疗的必要性及规范性。方法:对我院2016年第四季度普外科手术出院患者使用营养支持的情况进行调查,包括各种营养素的使用比例、联用情况、给药途径等。结果:维生素使用率为81.55%,丙氨酰谷氨酰胺的使用率为38.63%,联用三大营养素的比例为9.01%,肠内营养与肠外营养比例为1∶30。 结论:普外科医师能够意识到营养支持的重要性,患者术后给予营养支持的现象比较普遍,多种营养素均有所使用,但在规范化使用上存在欠缺,如肠内营养与肠外营养使用比例严重失调,丙氨酰谷氨酰胺的使用欠合理等,需要进一步加强学习。

Abstract: Objective:To investigate the necessity and normalization of nutritional support treatment in department of general surgery patients of our hospital. Methods:Investigated the postoperative nutritional support of patients in department of general surgery during the fourth quarter of 2016, including the proportion of use of various nutrients, the combination use of drugs and the route of administration. Results:The percentage of vitamin usage was 81.55%, the percentage of alanyl glutamine usage was 38.63%, the proportion of combination use of three major nutrients was 9.01%, and the proportion of enteral nutrition and parenteral nutrition was 1∶30. Conclusion:Department of general surgery physicians can realize the importance of nutritional support, postoperative nutritional support of the patient is relatively common and many nutrients have been used, but there still exists lacking of standardization in using of nutrients, such as the imbalance of enteral nutrition and parenteral nutrition, the unreasonable use of alanyl glutamine, all of these need further enhance learning.