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1996年3月至1999年8月对125例胃肠肿瘤手术病人的围手术期营养支持治疗。现报告如下。1临床资料1.1 一般资料 125例中男84例,女41例;年龄最小22岁,最大84岁。胃癌76例,大肠癌49例。胃癌胃体切除均达80％以上,大肠癌根据发病部位行右半结肠、左半结肠、直肠切除。大部分病人术后早期接受化疗、放疗及介入治疗。125例入院时存在不同程度营养不良,参照国内黎介寿的营养状况评定法,其中轻度营养不良26例,中度营养不良86例,重度营养不良13例。1.2 营养配方 全肠外营养(TPN)以脂肪-葡萄糖-氨基酸结构:热量20～30 kcal.kg~(-1)·d~(-1),氮量0.18～0.3·kg~(-1)·d~(-1),非蛋白质热量:氮二130～180:1,脂肪占热量的40％～50％。氮源为7％凡命,脂肪乳为20％的intralipid,辅加水
Perioperative nutritional support for 125 patients with gastrointestinal tumors from March 1996 to August 1999. The report is as follows. 1 Clinical data 1.1 General information 125 cases of male and female 84 cases, 41 females; youngest 22 years old, maximum 84 years old. There were 76 cases of gastric cancer and 49 cases of colorectal cancer. Gastric body resection of gastric cancer has reached more than 80%, colorectal cancer according to the site of the disease occurred in the right colon, left colon, rectal resection. Most patients received chemotherapy, radiotherapy, and interventional therapy early after surgery. There were 125 cases of malnutrition at different levels on admission, referring to the nutritional status assessment method of Li Jieshou, including 26 cases of mild malnutrition, 86 cases of moderate malnutrition, and 13 cases of severe malnutrition. 1.2 Nutritional formula Total parenteral nutrition (TPN) with fat-glucose-amino acid structure: Heat 20-30 kcal.kg-1 and d-1, nitrogen 0.18-0.3 kg-1 d~(-1), non-protein calories: nitrogen two 130 to 180:1, fat accounted for 40% to 50% of calories. Nitrogen source is 7% fatal, fat emulsion is 20% intralipid, supplemented with water