| 术后以高枝链氨基酸实行完全胃肠道外营养支持的临床意义 |
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| 引用本文： | 张兴亚,吴英杰,高广文,邰春泉. 术后以高枝链氨基酸实行完全胃肠道外营养支持的临床意义[J]. 中国医科大学学报, 1988, 0(2) |
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| 作者姓名： | 张兴亚 吴英杰 高广文 邰春泉 |
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| 作者单位： | 中国医科大学附属第一医院普外科(张兴亚，吴英杰，高广文)，中国医科大学普外实验室(邰春泉) |
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| 摘 要： | 对15例中等以上手术后病人禁食,实验组9例,以高枝链氨基酸行完全胃肠道外营养支持;对照组6例,给葡萄糖-生理盐水无氮输液。观察7天,结果表明:实验组在氮平衡、防止体重过多下降及机体康复方面均优于对照组。
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| 关 键 词： | 高枝链氨基酸 完全胃肠道外营养 氮平衡 抗分解代谢 |
CLINICAL SIGNIFICANCE OF POSTOPERATIVE TOTAL PARENTERAL NUTRITION WITH HIGH BRANCHED CHAIN AMINO ACID |
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| Zhang Xingya,et al. CLINICAL SIGNIFICANCE OF POSTOPERATIVE TOTAL PARENTERAL NUTRITION WITH HIGH BRANCHED CHAIN AMINO ACID[J]. Journal of China Medical University, 1988, 0(2) |
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| Authors: | Zhang Xingya et al |
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| Abstract: | Fifteen patients undergone over-middle operation and fasted with different nutrition support were observed for 7 days. The control group of 6 cases rice-ived non-nitrogen infusion fluid, their body weight reduced by mean of 4.7kg and nitrogen balance revealed -9.46g N/d. The exprimental group of 9 cases administrated total parenteral nutrition (TPN) support with 45% high branched chain amino acid(HBCAA) with nitrogen 0.175g/kg/d and proportion between nitrogen and calorie being 1g/204 Cal. Their body weight decreased mean 0.22 kg and nitrogen balance showed +1.25g N/d. After operative stress, 45% HBCAA presented anticatabolism effect promoting anabolism and let to positive nitrogen balance.The TPN support had nutrition effect, preventing excessive loss of body weight and having the benefit to convalesence.Therefore, replace-ment of Glucose-Normal Saline nonnitrogen infusion fluid with TPN support by HBCAA was necessary |
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| Keywords: | High branched chain amino acid (HBCAA) Total parenteral nutrition (TPN) Nitrogen balance Anticatabolism |
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