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目的探讨妇科围手术期并营养不良患者应用抗生素联合肠外营养支持的治疗效果。方法将120例妇科妇科围手术期并营养不良患者随机分为三组。A组单独应用抗生素40例;B组为复方氨基酸注射液合并应用抗生素40例;C组为丙氨酰谷氨酰胺注射液合并应用抗生素40例;并于治疗前及治疗后第7d、第14d分别进行抗感染疗效判断和测定患者体重、体重指数、血红蛋白、血清白蛋白等。结果 C组治疗第7d后治疗组感染5%,明显优于A组的17.5%(P<0.05);C组治疗14d后的体重、血红蛋白、血清白蛋白等指标明显高于治疗前,与A组比较,差异亦有极显著性(P<0.01)。结论应用抗生素联合丙氨酰谷氨酰胺注射液肠外营养支持明显提高临床疗效。
Objective To investigate the therapeutic effects of antibiotics combined with parenteral nutrition in perioperative patients with malnutrition. Methods 120 cases of gynecological gynecological perioperative malnutrition were randomly divided into three groups. A group of antibiotics alone in 40 cases; B group of compound amino acid injection combined antibiotics 40 cases; C group of alanyl glutamine injection combined antibiotics in 40 cases; and before treatment and after treatment 7d, 14d Respectively, to determine the efficacy of anti-infective and determination of patient weight, body mass index, hemoglobin, serum albumin and so on. Results In group C, after 5 days of treatment, the infection rate in treatment group was 5%, which was significantly better than that in group A (P <0.05). The weight, hemoglobin, serum albumin and other indexes of group C were significantly higher than those before treatment There was also a significant difference between the two groups (P <0.01). Conclusion The combination of antibiotics and alanyl glutamine injection parenteral nutrition support significantly improve the clinical efficacy.