肝炎后肝硬化腹水病人的膳食干预与血浆游离氨基酸分析  

Diet intervention and free amino acid analysis in patients

作　　者：于淑清[1] 郭雁宾[1] 倪明美[1] 王卫红[1] 

机构地区：[1]北京佑安医院,100054

出　　处：《中国临床营养杂志》1999年第2期58-60,共3页Chinese Journal of Clinical Nutrition

摘　　要：对20例肝炎后肝硬化腹水（HLCA）病人临床治疗同时给予高能量（167．2KJ·kg-1d-1）、高蛋白质（1．5g．kg-1·d-1，动物性30％）的膳食治疗，并设随意饮食对照。结果膳食干预组病人治疗后的三头肌皮褶厚度（TSF）上臂肌围（MAMC）及血浆游离氨基酸（PFAA）中的牛磺酸、精氨酸、组氨酸、丙氨酸和赖氨酸水平较治疗前及对照组均显著增加（P＜0．01，P＜0．05），住院时间显著缩短（P＜0．05）。说明无其它合并症的HLCA病人能够耐受高能量、高蛋白质的膳食供给。证实血浆游离氨基酸能够一定程度反应病人的膳食摄入和营养状况。The diet intervention with high energy (167. 2KJ/kg·d) and high protein (1. 5g/kg·d animal 30% )intake together with clinical treatment were catried for 20 patients with Post Hepatitis Cirhosis Ascites (HLCA). The results showed that the triceps skinfold fat (TSF), mid arm muscle circumference(MAMC) and Tauyine, Arginine, Histidine,Lysine and Alanine of the plasma free amino acid(PFAA) were significantly higher than that before the treatment and that of the control group. The results illustrated that HLCA patients without other complication could accept the dietcontaining 167. 2KJ/kg·d energy and 1. 5g/kg·d(animal 30% ) protein. The levels of PFAA could renect the food absorption and the nutritional status of HLCA patients.

关 键 词：肝炎 肝硬化 腹水 膳食 血浆游离氨基酸 HLCA 营养参数 

分 类 号：R575.2[医药卫生—消化系统]