中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
11期
124-125
,共2页
肠内营养%精氨酸%谷氨酰胺%烧伤
腸內營養%精氨痠%穀氨酰胺%燒傷
장내영양%정안산%곡안선알%소상
Enteral nutrition%Arginine%Glutamine%Burned
目的：探讨联合应用精氨酸(A rg)和谷氨酰胺(G ln)的肠内营养(EN)对烧伤患者的影响。方法将120例烧伤患者随机分成4组,每组30例,分别为A组(A rg)、G组(Gln)、AG组(Arg+Gln)和EN组(EN)。结果治疗第14天后,与EN组比较,A组、G组和AG组的PA、TF、ALB、STP浓度更显著增高,差异均具有统计学意义(P<0.05)；A组、G组的细胞免疫水平与EN组相比,差异具有统计学意义(P<0.05)；AG组与EN组相比,差异有极显著性意义(P<0.01)；治疗后A组、G组、AG组的CRP、补体C3、C4与EN组相比,差异具有统计学意义(P<0.05)。结论 A rg和G ln联合应用的EN比单用A rg 或G ln的EN更有效改善烧伤患者的营养状况、细胞免疫功能,抑制其应激反应的作用也更明显。
目的：探討聯閤應用精氨痠(A rg)和穀氨酰胺(G ln)的腸內營養(EN)對燒傷患者的影響。方法將120例燒傷患者隨機分成4組,每組30例,分彆為A組(A rg)、G組(Gln)、AG組(Arg+Gln)和EN組(EN)。結果治療第14天後,與EN組比較,A組、G組和AG組的PA、TF、ALB、STP濃度更顯著增高,差異均具有統計學意義(P<0.05)；A組、G組的細胞免疫水平與EN組相比,差異具有統計學意義(P<0.05)；AG組與EN組相比,差異有極顯著性意義(P<0.01)；治療後A組、G組、AG組的CRP、補體C3、C4與EN組相比,差異具有統計學意義(P<0.05)。結論 A rg和G ln聯閤應用的EN比單用A rg 或G ln的EN更有效改善燒傷患者的營養狀況、細胞免疫功能,抑製其應激反應的作用也更明顯。
목적：탐토연합응용정안산(A rg)화곡안선알(G ln)적장내영양(EN)대소상환자적영향。방법장120례소상환자수궤분성4조,매조30례,분별위A조(A rg)、G조(Gln)、AG조(Arg+Gln)화EN조(EN)。결과치료제14천후,여EN조비교,A조、G조화AG조적PA、TF、ALB、STP농도경현저증고,차이균구유통계학의의(P<0.05)；A조、G조적세포면역수평여EN조상비,차이구유통계학의의(P<0.05)；AG조여EN조상비,차이유겁현저성의의(P<0.01)；치료후A조、G조、AG조적CRP、보체C3、C4여EN조상비,차이구유통계학의의(P<0.05)。결론 A rg화G ln연합응용적EN비단용A rg 혹G ln적EN경유효개선소상환자적영양상황、세포면역공능,억제기응격반응적작용야경명현。
Objective: To evaluate the effect of A rg and G ln enriched EN effect on burned patients.Methods: One hundred twenty burned patients were randomly divided into 4 groups: Agroup( arg inine enriched EN group) , Ggroup ( glntamine supplemented EN group ) , AGgroup ( arginine and glutamine enriched EN group) and EN group ( Routine EN group). The distinct immune nutrients were added in to EN in the different groups for 14 consecutive days. The difference of the patients ‘nutrition status, immune function and stress status were analyzed. Results: After 14 day-treatment, compared with the EN group, the concentration of PA, TF, ALB, STP in A group,G group and AG group was more significantly increased, and the differences were statistically significant (P <0.05); after treatment, compared with the EN group, the concentration of Cell-mediated immunity in A group and G group was significantly different(P<0.05); compared with the EN group, the index in AG group was significantly different(P <0.01); compared with the EN group, the level of CRP, complement C3, C4 in A rg group, G group and AG group was significantly different(P<005). Conclusion: The usage of EN with arginine and glntamine is more effective in enhancing the cellular immune function and suppressing the inflammatory reaction in burned patients.
