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时间:2018-09-15
《重度烧伤患者补充核黄素后营养状况的变化》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、948TianjinMedJ,Dec2008,Vol36No12重度烧伤患者补充核黄素后营养状况的变化杨澎张明谏王其芳李小兵张静琦曹建功刘光晶刘子健杨雷钧摘要目的:对比观察重度烧伤患者补充核黄素后核黄素营养状况和血清总抗氧化水平的变化。方法:将人院治疗的重度烧伤患者随机分成补充核黄素组和未补充核黄素组,每组各30例。补充核黄素组患者于伤后第3天补充核黄素,每次口服(或经鼻胃管)核黄素10m每日3次,连续补充2周。分别于伤后l~3d、6—8d和13~15d,测定红细胞谷胱甘肽还原酶活性系数和血清总抗氧化能力。结果:重度烧伤患者补充核黄素
2、后1O~12d(即伤后第13一l5天),补充核黄素组核黄素营养缺乏例数明显少于未补充核黄素组,差异有统计学意义(P<0.01);补充核黄素组患者血清总抗氧化水平高于未补充核黄素组(P<0.01)。结论:重度烧伤患者伤后2周内每日补充3Omg核黄素能明显改善核黄素营养缺乏状况并能提高患者血清总抗氧化能力。关键词烧伤营养状况核黄素谷胱甘肽还原酶红细胞ChangeofRiboflavinStatusInfluencedbySupplementationofRiboflavininSeverelyBurnedPatientsYANGPeng,
3、ZHANGMingjian,WANGQifang,LIXiaobing,ZHANGJingqi,CAOJiangong,LIUGuangjing,LIUZijian,YANGLeijunTheFirstCentralClinicalCollegeofTianjinMedicalUniversity,Tianjin300070,ChinaAbstractObjective:Tocomparativelyobservethechangesofriboflavinstatusandserumtotalantioxidantcapacityi
4、n-fluencedbythesupplementationofriboflavininseverelyburnedpatients.Methods:Sixtyseverelyburnedpatientsweredivid·edintoriboflavingroup=3o)andwithoutreceivingriboflavingroup(n=30)usingstratifiedrandomsamplingmethod.Thepa·tientstreatedwithriboflavin30mgthreetimesadayfortwo
5、weeks.Erythrocyteglutathionereductaseactivationcoeficientandtheselllnltotalantioxidantcapacitiesinbothgroupsweremeasuredl-3,6-8,and13-15dayspostburn.Results:Numberofriboflavindeficiencyinpatientsreceivingriboflavinwaslessthanthatinpatientswithoutreceiveingriboflavinfrom
6、day13to15postburn,andtherewasasignificantdiferencefP<0.05).Atthesametime,thetotalantioxidantcapacitylevelsinpatientsre。ceivingriboflavinwerehigherthanthoseinpatientswithoutreceivingriboflavin<0.01).Conclusion:Riboflavinsupple—ments(30mgdaily)weregiventoseverelyburnedpat
7、ientseverydayfortwoweeks,whichcanreducethenumberofriboflavindeficiencyandimprovethetotalantioxidantcapacitylevelsinseverelyburnedpatients.Keywordsburnsnutritionalstatusriboflavinglutathionereductaseerythrocytes在已有的关于烧伤与核黄素方面的研究中,核统计学意义(均P>O.05),见表1。人选患者均无内分泌代谢黄素对烫伤大鼠肠道屏
8、障的保护作用f1和大鼠严重病史,重度肝、肾功能不全病史及长期口服硫胺素史。选择30例健康献血员(健康组),男25例,女5例,年龄20—45岁,平烧伤后核黄素早期使用对肠道源性感染的影I~[21等均(30.5±7.4)岁。
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