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[家庭肠内营养。100例]

[Parenteral feeding at home. 100 cases].

作者信息

Gouttebel M C, Saint-Aubert B, Joyeux H

出版信息

Presse Med. 1987 Jul 4;16(26):1265-8.

PMID:2955385
Abstract

Between 1979 and 1986, 100 patients underwent parenteral nutrition at home on account of malnutrition consecutive to digestive insufficiency or heavy anti-cancer chemotherapy. Parenteral feeding was performed through a buried catheter for a mean period of 74 days (range 30 to 430 days). The patients' nutritional status was improved, with a significant increase in weight, total plasma proteins and serum albumin (P less than 0.001). The principal complication observed was infection, and few patients (10.61%) were rehospitalized. Home parenteral nutrition may be regarded as "the artificial bowel" for chronic malnutrition patients. It increases the duration and quality of life without prolonging the time spent in hospital, and it reduces health expenses by 50 to 70%.

摘要

1979年至1986年间,100例因消化功能不全或强烈抗癌化疗导致营养不良的患者在家中接受肠外营养治疗。通过埋置导管进行肠外喂养,平均时长为74天(范围30至430天)。患者的营养状况得到改善,体重、总血浆蛋白和血清白蛋白显著增加(P<0.001)。观察到的主要并发症是感染,很少有患者(10.61%)再次住院。家庭肠外营养可被视为慢性营养不良患者的“人工肠道”。它增加了生活时长和质量,而不延长住院时间,并将医疗费用降低了50%至70%。

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