两种脂肪乳对老年胃肠肿瘤患者术后营养疗效的比较  

Comparison of nutrition treatment b etween MCT and LCT in postoperative e lderly patients with gastrointestinal tumor

作　　者：朱明炜[1] 韦军民[1] 曹金铎[1] 赵旭[1] 唐大年[1] 陈悦[1] 

机构地区：[1]卫生部北京医院普通外科,100730

出　　处：《中华胃肠外科杂志》2002年第3期180-182,共3页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的比较中长链脂肪乳及长链脂肪乳对老年胃肠肿瘤患者术后营养的疗效。方法29例老年胃肠肿瘤手术患者分为中长链脂肪乳组(MCT组,15例)和长链脂肪乳组(LCT组,14例),术后第2～7天共进行6d的肠外营养支持。除脂肪乳不同外,均给予等氮、等热卡的肠外营养,观察累积氮平衡、血浆蛋白、脂质代谢及与感染有关的并发症和术后住院天数等。结果术后经肠外营养MCT组获得正氮平衡,为(27.3±24.0)mg·kg-1·(6d)-1,而LCT组为(-17.5±16.2)mg·kg-1·(6d)-1。术后血浆蛋白水平均降低,LCT组前白蛋白的降幅为(-0.06±0.03)g/L,明显高于MCT组的(-0.02±0.03)g/L,差异有显著性意义(P<0.05)。两组患者的各项血脂水平手术前后变化均不明显。术后感染性并发症MCT组2例,LCT组3例。结论中长链脂肪乳对老年胃肠肿瘤患者术后的营养疗效比长链脂肪乳好。Objective To compare the nutritional effects b etween MCT and LCT in postoperative elderly patients with gastrointestinal tumor.Method Twenty-nine postoperative elderly patients with gastrointestinal tumor were divided into MCT group(15cases)and LCT group(14cases),and received parental nutrition support of equal nitrogen and calorie except emulsio n from postoperative day 2to day 7.The nitrogen balance,protein and fa t metabolism,infection related com plications and hospitalization dur ation were analyzed between two groups.Results Patients in MCT group obtained positive nitrogen balance.The cumulative nitrogen balance in MCT g roup(27.3±24.0)mg ·kg-1·(6d ) -1 higher than that in LCT group(-17.5±56.2)mg ·kg -1 ·(6d ) -1Plasma protein level decreased aft er operation.The prealbumin level decreased by(0.06±0.03)g /L in LCT group,while(0.02±0.03)g /L in MCT group(P<0.05).No obvious change of the fat level oc curred in each group before and after operation.Infection related complication occurred in 2c ases in MCT group and 3in LCT group.Conclusion MCT is a better postoperative nutrition treatment for elderly patients with gastroint estinal tumor.

关 键 词：脂肪乳 胃肠肿瘤 术后 营养 疗效 老年人 

分 类 号：R735[医药卫生—肿瘤]