| 腹部大手术后早期肠内营养的免疫学研究 |
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| 引用本文： | 邢雪,葛忠,步向阳,李洪. 腹部大手术后早期肠内营养的免疫学研究[J]. 中国现代普通外科进展, 2011, 14(1): 42-44. DOI: 10.3969/j.issn.1009-9905.2011.01.014 |
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| 作者姓名： | 邢雪 葛忠 步向阳 李洪 |
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| 作者单位： | 青岛市市立医院,肝胆外科,山东,青岛,266011 |
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| 摘 要： | 目的：研究早期肠内营养支持对腹部大手术患者对机体免疫的影响。方法：37例腹部大手术患者,术后第1天即由鼻肠管进行肠内营养支持（EN组）,同时取另外37例行肠外营养（PN）组的腹部大手术患者,对营养指标和体液免疫指标进行检测。结果：EN组患者均能良好耐受早期肠内营养支持,肠内营养开始后第15天的血红蛋白、清蛋白、转铁蛋白均比PN组升高（P〈0.05）,第15天IgG较PN组升高（P〈0.05）,第3天IgA较PN组下降（P〈0.05）,第15天IgA下降更明显（P〈0.05）,第15天IgM变化与PN组差异无统计学意义（P〉0.05）。结论：手术后早期肠内营养的施行能够明显改善患者腹部大手术后的营养状况,不损害机体的体液免疫机制,安全有效,是较理想的营养支持措施之一。
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| 关 键 词： | 肠内营养 腹部手术 抗体生成 |
Immunological research of early enteral nutrition for the patients underwent major abdominal operation |
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| XING Xue,GE Zhong,BU Xiang-yang,LI Hong. Immunological research of early enteral nutrition for the patients underwent major abdominal operation[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(1): 42-44. DOI: 10.3969/j.issn.1009-9905.2011.01.014 |
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| Authors: | XING Xue GE Zhong BU Xiang-yang LI Hong |
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| Affiliation: | XING Xue,GE Zhong,BU Xiang-yang,LI Hong Department of Hepatobiliary Surgery,Qingdao Municipal Hospital(Qingdao 266011,China) |
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| Abstract: | Objective: To explore and observe the therapeutic functions of early enteral nutrition and its influence of immunological function on 37 patients underwent major abdominal operation.Methods: Thirty-seven patients underwent major abdominal operation were carried out enteral nutrition through nasal-intestinal tube on the first postoperative day.The patiens have no complications associated with enteral nutrition except 4 patients with slight intestinal discomfort.Results: All patients could tolerate early ente... |
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| Keywords: | Enteral nutrition·Abdominal operation·Antibody formation |
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