胰酶对肠瘘病人肠内营养物质吸收的影响  

The effect of pancreatic enzyme in enteral nutrition in patients with gastrointestinal fistulas

作　　者：朱晋国[1] 任建安[1] 姜军[1] 王新波[1] 刘磊[1] 王革非[1] 

机构地区：[1]南京大学医学院临床学院南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2004年第5期286-288,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :观察胰酶对肠唇状瘘病人肠内营养物质吸收功能的影响。　方法 :对 11例肠唇状瘘病人给予肠内营养支持 ,非蛋白质热量为 14 6kJ/ (kg·d)、氮量 0 .2 5 g/ (kg·d)。测定应用胰酶前后粪中脂肪、氮和糖类总量的变化 ,及血清蛋白质水平。　结果 :使用胰酶后粪中总氮、总脂、总糖的排出量明显减少 (P <0 .0 5 )。血清总蛋白、清蛋白、前清蛋白、转铁蛋白、纤维连接蛋白明显升高 (P <0 .0 5 )。　结论 :胰酶能明显改善肠瘘病人对肠内营养物质的吸收。Objective: To observe the effect of pancreatic enzyme in enteral nutrition in patients with stomal type fistulas. Methods: 11cases with stomal fistulas were supported with total enteral nutrition (TEN).They received 146 kJ/(kg·d) of non-protein calorie (NPC) and 0.25 g/(kg·d) nitrogen. Feces were collected, and fecal nitrogen,fat and carbohydrate were determined. The levels of serum albumin, prealbumin(PA), transferrin(TFN) and fibronectin(FN) were monitored . Results: The loss of nitrogen, fat and carbohydrate in feces was decreased during use of pancreatic enzyme(P<0.05),and serum albumin, prealbumin, transferrin and fibronectin were rised significantly (P<0.05). Conclusions: The use of pancreatic enzyme is effective in improving the nutritional status in EN patients with stomal type fistulas.

关 键 词：瘘病 病人 胰酶 肠内营养支持 肠瘘 前清蛋白 影响 总脂 血清蛋白质 

分 类 号：R656.7[医药卫生—外科学]