肝移植术后早期不同营养方式对感染率的影响
作者:
通讯作者:
作者单位:

作者简介:

时军 E-mail:shijun6207@163.com

基金项目:

江西省卫生厅重点资助项目(200501023)。


Influence of different methods of nutritional support on infection rate during the early postoperative period of liver transplantation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的:探讨肝移植术后早期不同营养方式对感染率的影响。
    方法:选择肝移植术后早期(移植后1~7 d)进行营养支持治疗的受者45例,随机分成3组,即肠外营养支持(PN)组、肠内营养支持(EN)组、代谢调理(MI)组(肠内营养支持+谷氨酰胺及精氨酸静脉注射),每组15例。各组营养支持均为等热量和等氮量。观察各组受者术后2周感染率的发生情况。
    结果:EN组和MI组术后2周感染率显著低于PN组(P<0.05),EN组和MI组比较无统计学差异(P>0.05)。
    结论:在肝移植术后早期营养支持治疗中,肠内营养和代谢调理营养较之肠外营养更能有效地降低术后感染率。

    Abstract:

    Objective:To investigate the influence of different methods of nutritional support on infection rate during the early postoperative period of liver transplantation (LTx).
    Methods:Forty-five LTx recipients, who were to be given nutritional support in the early postoperative stage (1-7 days after operation), were randomly assigned into parental nutrition (PN) group, enteral nutrition (EN) group and metabolic intervention (MI) group (EN+glutamine+arginine) with 15 cases in each group. Each group of nutritional support received equal amounts of nitrogen and calories. The infection rate of each group in 2 weeks post-LTx was observed.
    Results:The infection rate within 2 weeks post-LTx between the EN and MI group showed no difference, but both was significantly lower than that of the PN group (P<0.05).
    Conclusions:EN and MI supports are more effective than PN support in reducing the risk of infection during the early postoperative period of LTx.

    参考文献
    相似文献
    引证文献
引用本文

罗文峰| 时军| 丁利民| 徐志丹| 李新长| 王永刚| 龙成美| 罗来邦.肝移植术后早期不同营养方式对感染率的影响[J].中国普通外科杂志,2011,20(7):736-739.
DOI:10.7659/j. issn.1005-6947.2011.07.018

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2011-01-01
  • 最后修改日期:2011-05-09
  • 录用日期:
  • 在线发布日期: 2011-07-15