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生长激素对门静脉高压症病人肝蛋白质合成的影响
引用本文:李为苏,吴性江,韩建明,黎介寿. 生长激素对门静脉高压症病人肝蛋白质合成的影响[J]. 肠外与肠内营养, 2004, 11(1): 23-25
作者姓名:李为苏  吴性江  韩建明  黎介寿
作者单位:南京军区南京总医院解放军普通外科研究所,江苏南京,210002;南京军区南京总医院解放军普通外科研究所,江苏南京,210002;南京军区南京总医院解放军普通外科研究所,江苏南京,210002;南京军区南京总医院解放军普通外科研究所,江苏南京,210002
摘    要:目的:了解生长激素(GH)对经颈静脉肝内门体分流术(TIPS)后门脉性肝硬化病人肝蛋白质代谢的影响. 方法:对10例门静脉高压症病人,在TIPS术后第2天开始皮下注射重组人生长激素(rhGH)8 U×7天.检测治疗前及治疗后3、7天血清清蛋白(Alb)、前清蛋白(PA)、纤维连接蛋白(FN)水平,同时测定血清胰岛素样生长因子(IGF-1)水平,进行治疗前后的比较. 结果:血清IGF-1水平TIPS术前与术后比较无显著差异,GH治疗后3天明显升高(P<0.01);Alb水平TIPS术前与GH治疗后3天比较无显著差异,7天后明显升高(P<0.05);PA和FN水平在GH治疗后第3天开始升高,第7天明显升高 (P<0.01). 结论:GH可以促进肝硬化门静脉高压症病人肝蛋白质合成.

关 键 词:肝硬化  门静脉高压症  生长激素  蛋白质代谢
文章编号:1007-810X(2004)01-0023-02
修稿时间:2003-10-28

Effect of growth hormone on liver protein synthesis in patients with portal hypertension
LI Wei su,WU Xing jiang,HAN Jian ming,LI Jie shou. Effect of growth hormone on liver protein synthesis in patients with portal hypertension[J]. Parenteral & Enteral Nutrition, 2004, 11(1): 23-25
Authors:LI Wei su  WU Xing jiang  HAN Jian ming  LI Jie shou
Abstract:Objectives: To investigate the effect of growth hormone on liver protein synthesis in patients with portal hypertension following TIPS. Methods: Ten patients with liver cirrhosis and portal hypertension were injected with rhGH (8 U/day) for 7days after TIPS. The serum levels of Alb, PA and FN were detected before and days 3 and 7 after TIPS and use of rhGH. Plasma insulin like growth factor 1 (IGF 1) was also measured by immunoradiological method. Results: As compared with the day before TIPS and rhGH, the levels of IGF 1, Alb , PA and FN were significantly increased on the 7th day after TIPS and rhGH treatment( P <0.01). Conclusions: The rhGH treatment after TIPS can facilitate liver protein synthesis in patients with liver cirrhosis and portal hypertension.
Keywords:Liver cirrhosis  Portal hypertension  Growth hormone  Protein metabolism
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