摘要
Abstract
Objective To comparative analysis of the influence of structure fat emulsion and medium and long chain fat emulsion to liver function and blood lipid in patients with critical illness. Methods 98 ICU patients were randomLy divided into the MCT/LCT group and the STG group, 49 cases in each group. The disease, APACHE II score, age and gender of two groups were not significant difference (P > 0.05). Two groups were comparable. After entering the ICU, the physical conditions of patients were immediately evaluated and determined that there were not parenteral nutritional support contraindications. The patients were treated with MCT/LCT or STG. The patients were given glucose infusion in the 1-2d, and treated with parenteral nutrition support therapy after 3d. Two groups were treated for 15d. Results After treatment with two different kinds of fat emulsion, there were significant differences between the two groups of AST, TG and TCH, LDL-C(P<0.05). AST, TG, TCH and LDL-C values of the MCT/LCT group were greater than those of STG group. In the HDL-C, DBIL, TBIL, ALP, and ALT of two groups, the differences between before treatment and after treatment were not significant (P>0.05). Conclusion To provide nutritional support for critically ill patients, STG has little effect on the indexes of blood lipid and liver function, should promote the use of STG.关键词
中/长链脂肪乳/结构脂肪乳/危重症/血脂/肝功能Key words
Medium and long chain fat emulsion/Structure fat emulsion/Critical illness/Blood lipid/Liver function分类
医药卫生
