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谷氨酰胺对慢性阻塞性肺疾病呼吸衰竭机械通气患者营养状况及免疫功能的影响

刘干辉 张庆光 蒋凌志 张晓坤 湛晓

现代医院Issue(7):37-38,2.
现代医院Issue(7):37-38,2.DOI:10.3969/j.issn.1671-332X.2015.07.014

谷氨酰胺对慢性阻塞性肺疾病呼吸衰竭机械通气患者营养状况及免疫功能的影响

EFFECT OF GLUTAMINE ON NUTRITION AND IMMUNITY FUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE ACCOMPANIED WITH RESPIRATORY FAILURE

刘干辉 1张庆光 1蒋凌志 1张晓坤 1湛晓2

作者信息

  • 1. 广州医学院荔湾医院 广东广州510170
  • 2. 暨南大学附属复大肿瘤医院 广东广州 510665
  • 折叠

摘要

Abstract

Objective To evaluate the effect of glutamine ( Gln) on nutrition status and immunity function in patients with chronic obstructive pulmonary disease ( COPD) accompanied with respiratory failure .Methods 43 patients with COPD accompanied with respiratory failure were randomly divided into Gln group (n=25) and control group (n=18).Both groups were given parenteral nutrition with equal calorie and nitrogen.Intravenous Ala-Gln was supplemented to Gln group instead of equal protein.The hemoglo-bin (HGB), serum total protein (TP), albumin (ALB), Globulin (GLB) and prealbumin (PAB), T lymphocyte subsets (CD3+, CD4 +, CD8 +), and immunoglobulin (IgG, IgA, IgM) changes were compared before and after treatment.Results After therapy, TP, PAB, CD3+T cell, CD8+T cell, IgA and IgG in Gln group were increased significantly.TP, CD3+T cell and IgA were significantly higher than those of the control group (p<0.05).Conclusion Ala -Gln can effectively improve the immune function and nutritional status of COPD patients accompanied with respiratory failure .

关键词

谷氨酰胺/慢性阻塞性肺疾病/呼吸衰竭

Key words

Glutamine/Chronic obstructive pulmonary/Respiratory failure

引用本文复制引用

刘干辉,张庆光,蒋凌志,张晓坤,湛晓..谷氨酰胺对慢性阻塞性肺疾病呼吸衰竭机械通气患者营养状况及免疫功能的影响[J].现代医院,2015,(7):37-38,2.

基金项目

广东省科技计划项目 ()

现代医院

1671-332X

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