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|本期目录/Table of Contents|

小百肽对心脏直视手术后患儿的营养支持效果(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2011年第5期
页码:
647-649
栏目:
临床研究
出版日期:
2011-10-25

文章信息/Info

Title:
Nutritional effect of peptamen junior on patients after open-heart surgery
作者:
郑 萍; 柳 梅; 韩 霞
武汉亚洲心脏病医院心外科重症监护室，湖北 武汉 430022
Author(s):
ZHENG Ping;  LIU Mei;  HAN Xia
Cardiovascular Surgery ICU, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China
关键词:
小百肽; 营养; 心脏手术
Keywords:
peptamen junior;  nutrition;  open-heart operation
分类号:
R473.6
DOI:
-
文献标识码:
A
摘要:
目的:比较添加小百肽的饮食和普通饮食对心脏直视术后患者的营养支持效果。方法： 随机选取我院2010年2月～10月简单先天性心脏病术后患儿66例，分为实验组37例，术后按年龄添加小百肽饮食；对照组29例，术后给予普通饮食，比较两组患儿术后第7天体质量变化、总蛋白水平、白蛋白水平、以及重症监护室（ICU）滞留时间、总住院时间及并发症发生率。结果： 给予小百肽配方制剂7 d后，实验组总蛋白水平为（72.5±4.7）g/L，白蛋白水平为（49.7±3.8）g/L，较对照组［分别为(65.2±5.8)g/L和（38.2±2.9）g/L］有明显上升，有统计学差异，其中白蛋白水平有显著性差异，实验组并发症发生率明显低于对照组，有统计学差异。两组体质量变化、ICU滞留时间、总住院时间无统计学差异。结论： 小百肽对心脏直视术后的患者有较好的营养支持效果。
Abstract:
AIM:To compare the nutritional effect of peptamen junior and normal diet on congenital heart disease (CHD) patients after operation. METHODS: Sixty six patients undergoing open-heart surgery were randomized into the peptamen junior group and the normal diet group. Parameters including weight, total protein, and albumin were measured before and after surgery. The length of ICU stay, length of hospital stay, and complication rates were compared after operation. RESULTS: Total protein and albumin in peptamen junior group were statistically higher than those in ordinary diet group. The complication rate in peptamen junior group was statistically lower than that in ordinary diet group. Weight, length of ICU stay and length of hospital stay had no statistical difference. CONCLUSION: Peptamen junior exerts a good nutritional effect on postoperative CHD patients.

参考文献/References

[1]Gunerhan Y,Koksal N,Sahin UY,et al.Effect of preoperative immunonutrition and other nutrition models on cellular immune parameters[J].World J Gastroenterol,2009,15(4):467-472.

[2]Weimann A,Braga M,Harsanyi L,et al.ESPEN guidelines on enteral nutrition:surgery including organ transplantation[J].Clinical Nutrition,2006,25(2):224-244.

[3]Bozzetti F,Gianotti L,Braga M,et al.Postoperative complications in gastrointestinal cancer patients: The joint role of the nutritional status and the nutritional support[J].Clin Nutr,2007,26(6):698-709.

[4]李幼生.围手术期病人的营养支持[J].肠外与肠内营养,2006,13(3):135-141.

[5]Melis GC,ter Wengel N,Boelens PG,et al.Glitamine:recent developments in research on the clinical significance of glutamine[J].Curr Opin Clin Nutr Metab Care,2004,7(1):59-70.

备注/Memo

备注/Memo:
收稿日期: 2010-11-01.作者简介：郑萍，主治医师，硕士Email:pinguishzheng@hotmail.com
更新日期/Last Update: 2011-11-03