PN加谷氨酰胺治疗老年手术病人的临床研究  

Curative effect of parenteral nutrition and glutamine on elderly surgical patients

作　　者：徐鹏远[1] 陈嘉勇[1] 谭晶[1] 许世才[1] 王兴贤[1] 

机构地区：[1]昆明医学院第二附属医院普外科,云南昆明650101

出　　处：《肠外与肠内营养》2000年第2期70-72,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :观察口服谷氨酰胺对老年手术病人的治疗作用。　方法 :肠外营养 (PN )加口服谷氨酰胺 (Gln)治疗2 0例老年中、大手术病人作为研究组 ,并与 2 0例 PN常规治疗对照组比较。　结果 :1研究组感染率下降 ,平均住院日为 (14.7± 3.1)天 ,与对照组为 (17.5± 4.2 )天比较差异显著 (P<0 .0 1)。 2研究组术后 7天血浆白蛋白浓度明显回升 (36 .32± 4.12 g/ L ) ,与对照组 (32 .72± 3.13g/ L )相比 ,有显著性差异 (P<0 .0 1)。 3术后第三、七天研究组获得正氮平衡 ,且第七天与对照比差异显著。 4研究组对疲劳的主观感觉普遍较对照组轻。　结论 :PN加口服 Gln能有效改善老年创伤病人负氮平衡 ,提高血浆白蛋白浓度 。Objectives:To observe the influence of parenteral nutrition(PN) and glutamine(Gln) on elderly surgical patients. Methods:Forty cases were randomly divided into two groups.One group was supported with PN plus Gln and another group was supported only with PN as control. Results:①Infective rate of Gln group descended and average hospitalization time shortened.②Serum albumin levels of Gln group rose obviously at 7th postoperative day.③Nitrogen balance was better in Gln group at the 7th postoperative day.④Gln group had better personal feeling for recovery of the body and mind fitigue. Conclusions:Gln could improve nitrogen balance and plasma albumin levels in elderly surgical patients.

关 键 词：肠外营养 谷氨酰胺 手术病人 老年人 

分 类 号：R459.3[医药卫生—治疗学]