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低热量营养支持对肝癌术后营养和免疫功能的影响
引用本文:顾春林,霍中华,张洪海,胡君,尹鹏,宋博,候乐伟,吕盛.低热量营养支持对肝癌术后营养和免疫功能的影响[J].肠外与肠内营养,2006,13(3):152-153,158.
作者姓名:顾春林  霍中华  张洪海  胡君  尹鹏  宋博  候乐伟  吕盛
作者单位:解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002;解放军第四五四医院普通外科,江苏,南京,210002
摘    要:目的:比较低热量肠内、外营养支持对肝癌术后营养和免疫功能的影响.方法:将49例可切除肝癌的病人随机分为两组,术后第2 d始分别接受低热量肠内营养(HEN组)和低热量肠外营养(HPN组),比较两组术后的免疫和营养指标.结果:HEN组术后前清蛋白、转铁蛋白、IgA、IgG、IgM下降幅度小,CD3和CD4/CD8易恢复至术前水平,与HPN组比较,差异有显著性意义(P<0.05).结论:HEN支持有利于肝癌术后营养和免疫功能的改善.

关 键 词:免疫功能  低热量营养  肝癌
文章编号:1007-810X(2006)03-0152-02
收稿时间:2005-12-19
修稿时间:2005-12-19

Effect of hypocaloric nutritional support on the function of immune and nutrition in postoperative patients with liver cancer
GU Chun-lin,HUO Zhong-hua,ZHANG Hong-hai,HU Jun,YIN Peng,SONG Bo,HOU Le-wei,L Seng.Effect of hypocaloric nutritional support on the function of immune and nutrition in postoperative patients with liver cancer[J].Parenteral & Enteral Nutrition,2006,13(3):152-153,158.
Authors:GU Chun-lin  HUO Zhong-hua  ZHANG Hong-hai  HU Jun  YIN Peng  SONG Bo  HOU Le-wei  L Seng
Institution:GU Chun-lin,HUO Zhong-hua,ZHANG Hong-hai,HU Jun,YIN Peng,SONG Bo,HOU Le-wei,L(U) Seng
Abstract:Objective:To compare the effect of postoperative hypocaloric nutrition on the function of immune and nutrition of the patients with liver cancer.Methods:Forty-nine patients with liver cancer were divided into two groups at random,namely hypocaloric enteral nutrition group(HEN group,26 cases) and hypocaloric parenteral nutrition group(HPN group,23 cases).They received hypocaloric enteral or parenteral nutrion from the 2 th day to the 8 th day after the operation.The indexes of immunity and nutrition were measured on the day before operation and the 8 th postoperative day.Results:The postoperative levels of prealbumin,transferrin,IgA,IgG,IgM CD4 and CD8 and the ratio of CD4/CD8 were significantly higher in HEN group than those in HPN group.Conclusion:Hypocaloric enteral nutrition support is helpful to ameliorate nutrition and immune function in postoperative patients with liver cancer.
Keywords:Immunity  Hypocaloric nutrition  Liver cancer
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