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目的探讨重症肝炎患者行人工肝血浆置换术前对其饮食进行控制的临床意义。方法对濮阳市第五人民医院106例重症肝炎患者,按照入院顺序的单双号进行编号,分为实验组和对照组。对照组患者术前给予常规的重症肝炎患者饮食指导,而对实验组患者则进行严格的控制饮食。观察术前术后两组患者的生化指标和并发症的发生情况,对比术后两组患者的生理指征,以及发生不良反应的情况,再通过统计学的方法对统计结果进行处理。结果两组患者术前术后的生化指标差异无统计学意义,并发症严重程度的差异有统计学意义,生理指征差异有统计学意义。结论重症肝炎人工肝血浆置换术前对患者进行严格的饮食控制对患者的生化指标无明显影响,对患者的生理指征产生不利影响,但在一定程度上可以减少并发症的发生频率。重症肝炎人工肝血浆置换术前是否应该进行严格的饮食控制还有待进一步研究。
Objective To study the clinical significance of controlling the diet of patients with severe hepatitis before artificial liver replacement. Methods Sixty-six patients with severe hepatitis in Puyang Fifth People’s Hospital were numbered according to admission order and divided into experimental group and control group. Patients in the control group were given dietary guidance for patients with conventional severe hepatitis preoperatively, while patients in the experimental group were given strict control diet. The biochemical indexes and complications of two groups before and after operation were observed. The physiological indications and the adverse reactions of the two groups were compared. Then the statistical results were processed by statistical methods. Results There were no significant differences in biochemical indexes between the two groups before and after surgery. There were significant differences in the severity of complications between the two groups, and there were significant differences in physiological indications. Conclusion Severe hepatitis artificial liver plasma exchange before the patient’s strict diet control on the patient’s biochemical indicators had no significant impact on the physiological indicators of patients had a negative impact, but to some extent, can reduce the frequency of complications. Severe hepatitis artificial liver plasma exchange should be carried out before strict diet control remains to be further studied.