CAJ | 학술논문

目的：研究高支链氨基酸肠外营养在综合ICU重症患者中的应用。方法将60例综合ICU重症患者随机分成对照组（30例）和治疗组（30例），在肠外营养配方中，对照组应用平衡氨基酸，治疗组应用高支链氨基酸。对两组的治疗结果和相关血液指标进行测定。结果治疗组的总蛋白（TP）、白蛋白（ALB）、前白蛋白（PA）、上臂肌围（AMC）和上臂周径（MAC）在治疗7 d后均有明显提高（P＜0．05）；对照组仅有TP、ALB、PA在治疗7 d后的变化差异有统计学意义（P＜0．05）；治疗组比对照组的营养改善更加显著。结论在综合ICU重症患者中应用高支链氨基酸肠外营养能够为患者提供有效的营养支持，且无相关副作用。
목적：연구고지련안기산장외영양재종합ICU중증환자중적응용。방법장60례종합ICU중증환자수궤분성대조조（30례）화치료조（30례），재장외영양배방중，대조조응용평형안기산，치료조응용고지련안기산。대량조적치료결과화상관혈액지표진행측정。결과치료조적총단백（TP）、백단백（ALB）、전백단백（PA）、상비기위（AMC）화상비주경（MAC）재치료7 d후균유명현제고（P＜0．05）；대조조부유TP、ALB、PA재치료7 d후적변화차이유통계학의의（P＜0．05）；치료조비대조조적영양개선경가현저。결론재종합ICU중증환자중응용고지련안기산장외영양능구위환자제공유효적영양지지，차무상관부작용。
Objective To research the effects of parenteral nutrition(PN)with high branchedchain amino acid(BCAA)content for critically ill patients in general ICU.Methods A total of60 patientsfrom the general ICU were randomly divided into the control group(30 cases)and treatment group(30 cases).The control group was given PN with balanced amino acids,while the treatment group received PNwith high content of BCAA.Therapeutic outcomes and the blood parameters were measured betweengroups.Results Total protein (TP),albumin (ALB),prealbumin (PA),arm muscle circumference(AMC)and arm circumference(MAC)of the treatment group increased significantly(P <0.05).In thecontrol group,the change of TP,ALB and PA after 7 days was statistically significant(P <0.05).Compared to the control group,the improvement of parameters in the treatment group was more obvious.Conclusion For patients in general ICU,parenteral nutrition with high BCAA content is able to provide effective nutritional support without relative sideeffects.