【摘要】 目的:探讨癌症晚期病人肠外营养(PN)再喂养综合征的预防方法。方法:选择癌症晚期病人86例,NRS 2002营养不良风险筛查评分≥3分,根据生化监测结果静脉给予电解质、肌内注射维生素B1和按阶梯行PN和液体入量。结果:血清磷、钾、镁第3天最低,与再喂养第1和第8天比均有显著性差异(P<0.05),第8天有>90%的病人恢复至正常值范围。再喂养综合征患病率为8.14%。结论:癌症晚期不能进食病人补充足够的维生素B1和电解质,同时行阶梯PN支持,可降低再喂养综合征的发生率。更多还原

【Abstract】 Objective: To explore the methods of prevention parenteral nutrition refeeding syndrome in patients with advanced cancer. Methods: Eighty-six patients who eating very little with advanced cancer and nutritional risk( NRS 2002) screening grade ≥ 3. According to the monitoring results adjustments to the quality of biochemical electrolysis and intramuscular injection of vitamin B1.Parenteral nutrition support and fluid intake was gradually increased. Results: Serum concentrations of phosphorus,potassium and magnesium are minimum at the 3rd day. More than 90% patients taking 8days to return to normal concentration. Incidence of refeeding syndrome was 8. 14%. Conclusion:The incidence of refeeding syndrome in advanced cancer patients who with eating disorders was significantly reduced,by supplement of enough vitamin B1 and biochemical electrolysis,and gradually increase parenteral nutrition and fluid intake,compared to the epidemiological study cancer incidence of TPN refeeding syndrome in patients with 42%.更多还原