發(fā)布時(shí)間：2018-05-18 22:26

  本文選題：肝臟手術(shù) + 腸內(nèi)營(yíng)養(yǎng)��； 參考：《中國(guó)醫(yī)院藥學(xué)雜志》2017年15期

【摘要】：目的:觀察糖尿病專(zhuān)用腸內(nèi)營(yíng)養(yǎng)混懸液應(yīng)用于肝臟術(shù)后伴發(fā)應(yīng)激性高血糖的患者,對(duì)其血糖的影響。方法:將116例肝臟手術(shù)后伴發(fā)應(yīng)激性高血糖患者隨機(jī)分為2組,觀察組給予糖尿病專(zhuān)用腸內(nèi)營(yíng)養(yǎng)混懸液(康全力,TPF-DM),對(duì)照組給予普通腸內(nèi)營(yíng)養(yǎng)混懸液(能全力,TPF),使用動(dòng)態(tài)血糖監(jiān)測(cè)系統(tǒng)(CGMS)記錄患者血糖,為時(shí)18 d,比較2組患者24 h血糖波動(dòng)幅度(24 h MAGE)、餐后2 h血糖(2hPG)、日均胰島素用量、CGMS血糖值在各范圍所占百分比。結(jié)果:觀察組和對(duì)照組24 h MBG(mmol·L-1)分別為(8.38±1.59)和(9.10±1.63),2hPG(mmol·L-1)分別為(9.35±1.17)和(12.36±2.65),日均胰島素用量(u)分別為(15.2±11.3)和(37.6±12.0)。觀察組的24h MBG、2hPG、日均胰島素用量?jī)?yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組與對(duì)照組比較CGMS血糖值在各范圍所占百分比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:糖尿病專(zhuān)用腸內(nèi)營(yíng)養(yǎng)混懸液的使用可以降低肝臟術(shù)后伴發(fā)應(yīng)激性高血糖患者的24h MBG及2hPG,減少胰島素的用量,對(duì)控制術(shù)后應(yīng)激性高血糖是有益的。
[Abstract]:Aim: to observe the effect of diabetic enteral nutrition suspension on blood glucose in patients with stress hyperglycemia after liver operation. Methods: 116 patients with stress hyperglycemia after liver operation were randomly divided into two groups. The observation group was given special enteral nutrition suspension of diabetes mellitus (Kangzhuo TPF-DMN), the control group was given general enteral nutrition suspension (TPFN), and the blood glucose was recorded by dynamic blood glucose monitoring system (CGMSs). For 18 days, the fluctuation range of 24 h blood glucose in the two groups was compared with that of 24 h MAGEN, 2 h postprandial blood glucose and 2 h PGN, and the percentage of CGMs in each range. Results: 24 h MBG(mmol L ~ (-1) in the observation group and the control group were 8.38 鹵1.59) and 9.10 鹵1.63 MBG(mmol / L ~ (-1), respectively, which were 9.35 鹵1.17) and 12.36 鹵2.65m, respectively. The daily average insulin dosage was 15.2 鹵11.3) and 37.6 鹵12.0%, respectively. Compared with the control group, the daily insulin dosage of the observation group was significantly higher than that of the control group (P 0.05), and the percentage of blood glucose of CGMS in the observation group was significantly higher than that in the control group (P 0.05). Conclusion: the use of special enteral nutrition suspension for diabetes can reduce 24 hours MBG and 2 hPGs of patients with stress hyperglycemia after liver operation, and reduce the dosage of insulin, which is beneficial to control stress hyperglycemia after operation.
【作者單位】： 天津市職業(yè)病防治院藥劑科;首都醫(yī)科大學(xué)附屬北京佑安醫(yī)院肝膽外科;天津市職業(yè)病防治院急診科;
【分類(lèi)號(hào)】：R657.3

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本文編號(hào)：1907472