肠内营养对肠瘘非甲状腺疾病综合征病人甲状腺功能的作用研究

发布时间：2018-06-10 20:36

  本文选题：肠瘘 + 非甲状腺疾病综合征　； 参考：《肠外与肠内营养》2016年05期

【摘要】：目的:肠瘘病人容易发生非甲状腺疾病综合征(NTIS),探讨肠内营养(EN)治疗对肠瘘合并NTIS病人甲状腺功能的作用。方法:回顾性分析80例肠瘘合并NTIS并接受EN治疗的病人,统计纳入病人住院期间甲状腺功能和其他实验室指标的变化。结果:80例病人EN支持治疗后,66例NTIS病情缓解,14例未缓解,有效率82.50%。多变量Cox比例风险模型表明,从入院到开始接受全量EN治疗的时间为NTIS获得缓解的独立风险因素。结论:EN治疗有助于缓解肠瘘病人NTIS的症状。
[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.
【作者单位】： 第二军医大学南京临床医学院(南京军区南京总医院)解放军普通外科研究所;
【基金】：国家自然科学基金项目(81270478)
【分类号】：R459.3
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本文编号：2004525