肝移植术后早期的营养支持  

Early postoperative nutritional support of liver transplantation

作　　者：沈小志[1] 许萍[1] 丁义涛[2] 仇毓东[2] 

机构地区：[1]南京大学医学院附属鼓楼医院营养科,江苏南京210008 [2]南京大学医学院附属鼓楼医院普通外科,江苏南京210008

出　　处：《肠外与肠内营养》2005年第4期193-195,共3页Parenteral & Enteral Nutrition

基　　金：江苏省"六大人才高峰"项目资助(批准号:BK2003008)

摘　　要：目的:探讨肝移植术后早期的营养支持。方法:将44例肝移植术后病人随机分为相对高能量组(A组)和相对低能量组(B组),每组各22例。观察其术后3周内氮平衡、体质量、血清清蛋白及血红蛋白、血脂、肾功能、肝功能的变化情况。结果:两组的体质量、血清清蛋白及血红蛋白、肝功能指标等差异无显著性意义;A组的氮平衡明显优于B组,肾功能明显差于B组。结论:肝移植术后早期营养供给量应适当控制。Objective:To study the early postoperative nutrition support of the liver transplantation.Methods:The early intake and nutrition were analysed in 44 patients with liver transplantation . The patients were divided into group A (22 patients , high amount of nitrogen inake ) and group B ( 22 patients , low amount of nitrogen intake ). The changes of the nitrogen balance,body weight, serum albumin, hemoglobin, serum lipids, renal function and liver function were evaluated.Results:There were no significant difference in body weight, serum albumin, hemoglobin, liver function between the two groups. The nitrogen balance of group A was better than that of group B,while the renal function of group B was better than that of group A.Conclusion:The amount of caloric and nitrogen intake in early postoperative stage of liver transplantation should be controlled.

关 键 词：肝移植 营养支持 

分 类 号：R459.3[医药卫生—治疗学]