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早期肠道营养对烧伤后肠道功能的维护
引用本文:王少龙 汪仕良. 早期肠道营养对烧伤后肠道功能的维护[J]. 中华整形烧伤外科杂志, 1997, 13(4): 267-271
作者姓名:王少龙 汪仕良
作者单位:[1]解放军第四十七医院外二科 [2]第三军医大学西南医院烧伤研究所
摘    要:
选择平均烧伤面积45%成人21例,随机分为早期喂养和延迟喂养组,探讨早期肠道营养对严重烧伤病人肠道功能的维护作用。结果表明内毒素在伤后4,8天EF组显著低于DF组(P〈0.05 ̄0.01);而SOD则呈相反的变化,在伤后4,8天EF组显著高于DF组(P〈0.01),胃泌素和胃动素除伤后第1天的大多时相点EF组显著高于DF组(P〈0.05 ̄0.01),而炎症介质TNF和IL-8则呈相反的变化,两且间

关 键 词:烧伤 肠道营养 再灌注损伤

A clinical study of early enteral feeding to protect the gut function in burned patients]
S Wang,S Wang,A Li. A clinical study of early enteral feeding to protect the gut function in burned patients][J]. , 1997, 13(4): 267-271
Authors:S Wang  S Wang  A Li
Affiliation:Department of Surgery, 47th Army Hospital of People's Liberation Army, Chengdu.
Abstract:
In order to investigate the effects of early enteral feeding on the gut after burn, 21 cases (mean burn area 45%) were randomly divided into early feeding group (EF group) and delayed feeding group (DF group). The results showed that the levels of plasma endotoxin and MDA in EF group were much lower on PBD 4, 8, 14 than those of DF group (P < 0.05-0.01), and plasma SOD was much lower in DF group on PBD 4, 8 (P < 0.01). The contents of serum gastrin and plasma motilin were obviously increased, and TNF IL-8 much lower in EF group at most time points (P < 0.05-0.01). Therefore, it seems that the early enteral feeding can decrease the level of plasma endotoxin in blood, reduce reperfusion injury of the gut, and blunt the chain reaction of "endotoxin-inflammatory mediator-gut mucosa injury."
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