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早期肠内营养联合生长激素治疗全胃切除病人术后吻合口瘘
引用本文:陈冬利,董光龙,王为忠,刘骥,李纪鹏,刘小南.早期肠内营养联合生长激素治疗全胃切除病人术后吻合口瘘[J].肠外与肠内营养,2009,16(1).
作者姓名:陈冬利  董光龙  王为忠  刘骥  李纪鹏  刘小南
作者单位:第四军医大学西京医院胃肠外科,陕西西安,710032
摘    要:目的:观察EN+GH对改善全胃切除术后食管-空肠吻合口瘘病人营养状态和预后的影响. 方法:对11例全胃切除术后吻合口瘘病人给予EN+GH治疗,分别于治疗前后测定血清总蛋白(TP)、ALB、球蛋白、纤维连接蛋白(FN)、C-反应蛋白(CRP)、PA和TF的浓度. 结果:EN+GH治疗后病人血清相关蛋白中FN和TF水平有明显增加(P<0.01,P<0.05),CRP水平明显减少(P<0.01). 结论:EN+GH治疗可促进全胃切除术后病人吻合口瘘的快速自愈.

关 键 词:生长激素  肠内营养  全胃切除术  吻合口瘘

Effcets of EN and growth hormone on the healing of fistula after total gastrectomy
CHEN Dong-li,DONG Guang-long,WANG Wei-zhong,LIU Ji,LI Ji-peng,LIU Xiao-nan.Effcets of EN and growth hormone on the healing of fistula after total gastrectomy[J].Parenteral & Enteral Nutrition,2009,16(1).
Authors:CHEN Dong-li  DONG Guang-long  WANG Wei-zhong  LIU Ji  LI Ji-peng  LIU Xiao-nan
Affiliation:Department of Gastrointestinal Surgery;Xijing Hospital;the Fourth Military Medical University;Xi'an 710032;Shaanxi;China
Abstract:Objective: To investigate effcets of EN and growth hormone on nutritional state and the healing of fistula after total gastrectomy.Methods: Eleven cases of fistula after total gastrectomy from August 2001 to January 2007 were enrolled in the study.EN and growth hormone were successfully administered.The peripheral blood were collected and serum protein levels were measured.Results: The fibronectin and transferrin increased significantly,but c-reactive protein decreased obviously.Conclusion: EN and growth ho...
Keywords:Growth hormone  Enteral nutrition  Total gastrectomy  Fistula  
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