發(fā)布時(shí)間：2018-06-10 20:36

  本文選題：腸瘺 + 非甲狀腺疾病綜合征　； 參考：《腸外與腸內(nèi)營(yíng)養(yǎng)》2016年05期

【摘要】：目的:腸瘺病人容易發(fā)生非甲狀腺疾病綜合征(NTIS),探討腸內(nèi)營(yíng)養(yǎng)(EN)治療對(duì)腸瘺合并NTIS病人甲狀腺功能的作用。方法:回顧性分析80例腸瘺合并NTIS并接受EN治療的病人,統(tǒng)計(jì)納入病人住院期間甲狀腺功能和其他實(shí)驗(yàn)室指標(biāo)的變化。結(jié)果:80例病人EN支持治療后,66例NTIS病情緩解,14例未緩解,有效率82.50%。多變量Cox比例風(fēng)險(xiǎn)模型表明,從入院到開始接受全量EN治療的時(shí)間為NTIS獲得緩解的獨(dú)立風(fēng)險(xiǎn)因素。結(jié)論:EN治療有助于緩解腸瘺病人NTIS的癥狀。
[Abstract]:Objective: to investigate the effect of enteral nutrition (en) on thyroid function in patients with intestinal fistula complicated with NTIS. Methods: the changes of thyroid function and other laboratory indexes in 80 patients with enteric fistula complicated with NTIS and treated with en were analyzed retrospectively. Results in 66 cases of NTIS, 14 cases had no remission after en support therapy. The effective rate was 82.50%. The multivariate Cox proportional risk model showed that the time from admission to the beginning of total en therapy was an independent risk factor for NTIS to be alleviated. Conclusion the treatment of% en can relieve the symptoms of NTIS in patients with intestinal fistula.
【作者單位】： 第二軍醫(yī)大學(xué)南京臨床醫(yī)學(xué)院(南京軍區(qū)南京總醫(yī)院)解放軍普通外科研究所;
【基金】：國(guó)家自然科學(xué)基金項(xiàng)目(81270478)
【分類號(hào)】：R459.3
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本文編號(hào)：2004525