CAJ | 학술논문

目的: 研究添加鱼油脂肪乳对肝胆管恶性肿瘤术后病人肝功能恢复和营养状况的评价. 方法: 肝胆管恶性肿瘤切除术后病人32例,随机分为对照组和研究组,两组病人均接受等氮、等热量PN支持,研究组加用鱼油脂肪乳.比较手术前后两组病人血清蛋白质、血糖、胆红素、转氨酶和碱性磷酸酶水平和感染并发症的发生率. 结果: 经术后连续7 d的治疗,研究组病人血清蛋白质和胆红素水平明显改善,与对照组比有显著性差异(P<0.05),感染并发症亦明显少于对照组. 结论: 肝胆管恶性肿瘤术后病人应用鱼油脂肪乳,有利于营养状况和肝功能的恢复.
목적: 연구첨가어유지방유대간담관악성종류술후병인간공능회복화영양상황적평개. 방법: 간담관악성종류절제술후병인32례,수궤분위대조조화연구조,량조병인균접수등담、등열량PN지지,연구조가용어유지방유.비교수술전후량조병인혈청단백질、혈당、담홍소、전안매화감성린산매수평화감염병발증적발생솔. 결과: 경술후련속7 d적치료,연구조병인혈청단백질화담홍소수평명현개선,여대조조비유현저성차이(P<0.05),감염병발증역명현소우대조조. 결론: 간담관악성종류술후병인응용어유지방유,유리우영양상황화간공능적회복.
Objective: The impact of parenteral fish oil lipid emulsion on liver function and nutritional status of malignant tumors of the liver and gallbladder patients. Methods: From December 2007 to A-pril 2008, 32 post-operative hepatobiliary cancer patients were randomly divided into control and study groups. Two groups were treated with isocaloric, isonitrogenic parenteral nutrition and the study group was added fish oil lipid emulsion. Comparison of plasma protein, glucose, jaundice index, transaminase, ALP and the rate of infection complications was made betweent the two groups. Results: The blood glucose, transaminase and ALP levels were not significantly different between the two groups. But the plasma proteins and bilirubin levels were improved significantly (P < 0.05) with reduced infection complication in the study group. Conclusion : Fish oil lipid emulsion is conducive to the recovery of post-operative liver and gallbladder cancer patients in live function and nutritional status.