Kuwabara Yoshiyuki, Takeyama Hiromitsu
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Science, Nagoya, Japan.
Nihon Geka Gakkai Zasshi. 2010 Nov;111(6):348-52.
The nutritional condition of patients affects the results of surgical treatment. In patients in poor nutritional condition, postoperative complications, length of hospital stay, and mortality rate were reported to increase. Perioperative nutritional management is an important factor in preventing the incidence of postoperative infectious complications. The assessment of nutritional status is also important, and the appropriate dietary regimen should be selected based on the results of the assessment. Oral and enteral nutrition are usually selected for perioperative patients. Early enteral nutrition is advantageous in preventing postoperative infection. The effects of immunonutrition and synbiotics in surgical patients have been discussed in many recent reports. The advantages and disadvantages of nutritional therapy must be understood to provide the most appropriate regimen. This paper reviews the contribution of nutritional support to the prevention of complications after surgery.
患者的营养状况会影响手术治疗的效果。据报道,营养状况较差的患者术后并发症、住院时间和死亡率会增加。围手术期营养管理是预防术后感染性并发症发生的重要因素。营养状况评估也很重要,应根据评估结果选择合适的饮食方案。围手术期患者通常选择口服营养和肠内营养。早期肠内营养在预防术后感染方面具有优势。近期许多报告都讨论了免疫营养和合生元对外科患者的影响。必须了解营养治疗的优缺点,以提供最合适的方案。本文综述了营养支持对预防术后并发症的作用。