| 结构脂肪乳和中长链脂肪乳临床副作用比较 |
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| 引用本文： | 俞亚红,杨继鑫. 结构脂肪乳和中长链脂肪乳临床副作用比较[J]. 临床外科杂志, 2008, 16(12): 811-812 |
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| 作者姓名： | 俞亚红 杨继鑫 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院外科,武汉,430030;华中科技大学同济医学院附属同济医院外科,武汉,430030 |
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| 摘 要： | 目的观察和比较结构脂肪乳（sTG）和传统中／长链脂肪乳（MCT／LCT 1：1）临床副作用，以减少肠外营养并发症的发生。方法选择我科50例需要进行中等腹部手术且术前ALT和AST均正常的患者，随机分为实验组和对照组，术后连续5d分别给于结构脂肪乳（力文。）和中／长链脂肪乳（力能。）进行肠外营养，分别观察两组患者副反应（恶心呕吐、头痛、发热）和肝功能指标（ALT、AST）。结果实验组与对照组的患者恶心、呕吐的发生率分别为44％与72％，头痛的发生率分别为40％与68％，发热的发生率分别为36％与64％；实验组与对照组ALT及AST均在正常范围内，实验组均低于对照组，ALT分别为（24±0．25）U／L与（28±0．35）U／L，AST分别为（20±0．19）U／L与（26±0．31）U／L。结论结构脂肪乳较传统中／长链脂肪乳的副作用小，两种脂肪乳制剂均不造成肝脏功能的明显损害。
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| 关 键 词： | 结构脂肪乳 中/长链脂肪乳 副作用 |
Comparison of clinical side effects of structured lipid and MCT/LCT |
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| YU Ya-hong,YANG Ji-xin. Comparison of clinical side effects of structured lipid and MCT/LCT[J]. Journal of Clinical Surgery, 2008, 16(12): 811-812 |
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| Authors: | YU Ya-hong YANG Ji-xin |
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| Affiliation: | YU Ya-hong,YANG Ji-xin.(Department of Surgery,Tongji Hospital of Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030,China) |
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| Abstract: | Objective To observe and compare clinical side effects of structured lipid and traditional MCT/LCT in order to reduce complications of TPN.Methods Fifteen patients who were to ready to accept middle-sized abdominal operations with normal level of ALT and AST were chosen,and randomly divided into two groups:structured lipid was given to experimental group,and MCT/LCT was given to the control for 5 days after operation.The side effects(including nausea/vomiting,headache and fever) and liver function(including... |
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| Keywords: | structured lipid MCT/LCT side effect |
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