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肝移植围手术期肠内免疫营养治疗的观察
引用本文:赵德芳,陈大志,张珂,杨永久,盛勤松. 肝移植围手术期肠内免疫营养治疗的观察[J]. 肠外与肠内营养, 2008, 15(2): 88-91
作者姓名:赵德芳  陈大志  张珂  杨永久  盛勤松
作者单位:首都医科大学附属北京朝阳医院肝胆外科,北京,100020;北京地坛医院肝胆外科,北京,100011
摘    要:目的: 研究ω-3脂肪酸、精氨酸、膳食纤维等营养物质强化的肠内免疫营养(EIN)治疗,在肝移植围手术期营养支持中的安全性和治疗效果. 方法: 将39例肝移植病人随机分为两组,分别给予EIN和普通EN.通过肝功能、细胞免疫、体液免疫、排斥发生率的检测,比较两组病人的治疗效果. 结果: EIN组病人的肝细胞合成功能和免疫功能等都好于EN组;两组病人的排斥反应发生率均未增加. 结论: EIN治疗能明显减轻肝移植病人围手术期机体免疫抑制状态,改善细胞免疫和体液免疫功能,且未增加术后排斥反应的发生率.

关 键 词:肠内营养  免疫营养  围手术期  肝移植
文章编号:1007-810X(2008)02-0088-04
修稿时间:2007-10-29

Clinical observation on enteral immunonutrition in patients during perioperation of liver transplantation
ZHAO De-fang,CHEN Da-zhi,ZHANG Ke,YANG Yong-jiu,SHENG Qin-song. Clinical observation on enteral immunonutrition in patients during perioperation of liver transplantation[J]. Parenteral & Enteral Nutrition, 2008, 15(2): 88-91
Authors:ZHAO De-fang  CHEN Da-zhi  ZHANG Ke  YANG Yong-jiu  SHENG Qin-song
Affiliation:ZHAO De-fang1,CHEN Da-zhi1,ZHANG Ke2,YANG Yong-jiu1,SHENG Qin-song1(1.Hepatobiliary Surgery,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China,2.Hepatobiliary Surgery,Beijing Ditan Hospital,Beijing 100011,China)
Abstract:Objective: The safety and the therapeutic efficacy of the enteral immunonutrition were observed in the patients during the perioperative period of liver transplantation.Methods: 39 cases of the patients underwent liver transplantation were randomly divided into two groups,namely enteral immunonutrition(EIN) and regular enteral nutrition(EN).The liver function,cellular immunity,humoral immunity,and incidence of rejection were monitored.Results: The patients had better therapeutic efficacy on liver function,c...
Keywords:Enteral nutrition  Immunonutrition  Perioperative period  Liver transplantation  
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