| 肠内和肠外营养对上消化道肿瘤术后肠瘘患者的肠道保护作用 |
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| 引用本文： | 王少龙,李传军,李高,刘江,王佳.肠内和肠外营养对上消化道肿瘤术后肠瘘患者的肠道保护作用[J].重庆医学,2004,33(2):255-257. |
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| 作者姓名： | 王少龙 李传军 李高 刘江 王佳 |
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| 作者单位： | 第三军医大学成都军医学院第47医院内三科,成都,610500;第三军医大学成都军医学院第47医院内三科,成都,610500;第三军医大学成都军医学院第47医院内三科,成都,610500;第三军医大学成都军医学院第47医院内三科,成都,610500;第三军医大学成都军医学院第47医院内三科,成都,610500 |
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| 摘 要： | 目的研究肠内和肠外营养对上消化道肿瘤术后肠瘘患者的肠道功能保护作用,提高其营养支持效率.方法 28例实验对象,随机分为肠内和肠外营养支持两组,采用前瞻性随机对照研究.结果肠内营养支持可降低循环内毒素水平,减轻肠道缺血再灌注损伤.降低血循环中炎症介质TNF和IL-8的水平.结论肠内营养可有效保护上消化道肠瘘患者的肠道功能,削弱、阻滞"内毒素-炎症介质-肠粘膜损害"这一恶性循环.
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| 关 键 词： | 肠内营养 肠外营养 肿瘤 肠瘘 |
| 文章编号： | 1671-8348(2004)02-0255-03 |
A clinical study of enteral nutrition and parenteral nutrition on upper digestive tract tumour patients of enteral-fistula after operation |
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| WANG Shao long,LI Chuan jun,LI Gao,et al..A clinical study of enteral nutrition and parenteral nutrition on upper digestive tract tumour patients of enteral-fistula after operation[J].Chongqing Medical Journal,2004,33(2):255-257. |
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| Authors: | WANG Shao long LI Chuan jun LI Gao |
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| Abstract: | Objective To study the protective effects of gut by the nutrient sustain on upper digestive tract tumour patients with enteral fistula after operation. Methods Twenty eight cases were randomly divided into enteral nutrition group (EN) and parenteral nutrition group (PN). The method is prospective study . Results The results showed that the EN group reduced the reperfusion injury of the gut, and decreased the levels of endotoxin,TNF and IL 8 in blood stream. Conclusion Enteral nutrition could preserve the function of gut to the upper digestive tract tumour patients with enteral fistula after operation, and blunt the chain reaction of "endotoxin inflammatory mediator gut mucosa injury". |
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| Keywords: | enteral nutrition parenteral nutrition tumour enteral fistula |
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