摘要
目的:观察EN再灌食对长期禁食的肠瘘病人血清蛋白、肝功能的早期影响。方法:对54例长期饥饿或PN的肠外瘘病人在EN支持前和支持后第1、3、5、9、14天的血清蛋白、肝胆生化指标进行前瞻性观察。结果:血清ALB于EN支持后第1天下降,尔后逐渐回升,PA、Fn于EN支持后第3天升高,TF于第7天升高,ALT、AST、AKP、γ-GT于EN支持后5~9 d升高,后逐渐下降,并与EN支持前是否淤胆有关。总胆红素于EN支持后逐渐下降。2例病人发生胆汁淤积性胆囊炎。以上改变均有显著性意义。结论:肠内营养再灌食病人EN支持早期蛋白的合成代谢增加,EN支持是缓解肝胆损害的有效途径。
Objective:This study was designed to investigate prospectively the early effects of enteral refeeding on the plasma protein and the hepatobiliary function in the gastrointestinal fistula patients.Methods: Fifty-four gastrointestinal fistula patients who received parenteral nutrition or were fasting before enteral refeeding were enrolled.The plasma protein and the hepatobiliary function were analyzed before and 1,3,5,7,9 and 14 days after EN.Results: Plasma ALB descended mildly one day after EN and elevated ...
出处
《肠外与肠内营养》
CAS
2008年第2期100-103,共4页
Parenteral & Enteral Nutrition
