山东医药2012，Vol.52Issue(24)：16-18,21,4.
肠外营养在肝硬化门静脉高压断流术后的应用研究
Parenteral nutritional support in patients with cirrhotic portal hypertention after pericardial devascularization
摘要
Abstract
Objective To observe the security and availability of parenteral nutritional (PN) support in patients with cirrhotic portal hypertention after pericardial devascularization. Methods Fifty-five cases after pericardial devascularization were randomly assigned into 2 groups: PN group receiving PN support with structured triglyceride, amino acid, glucose, vitamin, microelement in regular "3 liter bag" , and control group receiving regular fluid supplement, with the same amino acid, glucose, vitamin, microelement as PN group. Check postoperative liver function, lipid metabolism, immune function, body composition and complications on the preoperative and the 1st, 3rd, 5th, 7th postoperative days. Results Compared with the control group, alanine aminotransferase of PN group dropped faster in the seventh day after the operation (P <0.05). The body mass, upper-arm circumference, prealbumin, retinol binding protein, immunity target of PN group rose faster than the control group ( P < 0.05). There was significant difference between the two groups in the recovery time of gastrointestinal tract ( P < 0.05 ). There were no significant differences between the two groups in triglyceride and complications (P>0.05). Conclusions PN is well tolerated, safe and available, which can accelerate the liver function, improve the immunity and nutrition of the body.关键词
肠外营养/肝硬化/门静脉高压/结构脂肪乳Key words
parenteral nutrition/ hepatocirrhosis/ portal hypertension/ structured triglycerides分类
医药卫生引用本文复制引用
杨先芬,荚卫东,许戈良,马金良,葛勇胜,余继海..肠外营养在肝硬化门静脉高压断流术后的应用研究[J].山东医药,2012,52(24):16-18,21,4.基金项目
安徽省立医院安徽省“115”产业创新团队—肝细胞癌转移复发研究团队资助项目. （）
