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时间:2019-06-24
《免疫增强型肠内营养对胃肠道恶性肿瘤病人术后炎症反应的影响》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·216·齐鲁医学杂志2014年6月第29卷第3期MedJQilu,June2014,Vo1.29,No.3doi:10.13362/j.qlyx.201403010免疫增强型肠内营养对胃肠道恶性肿瘤病人术后炎症反应的影响唐梅,李亚铃。,陈秋菊。吴彩霞。雷冰华。,唐文娟(1湖北医药学院附属太和医院普外四科,湖北十堰442000;2湖北医药学院附属太和医院护理部3湖北医药学院第一临床医学院;4十堰市妇幼保健院妇保科)[摘要]目的观察免疫增强型肠内营养对胃肠道恶性肿瘤病人术后炎症反应的影响。方法将58例胃肠道恶性肿瘤术后病人随机分为免疫增强型肠内营养组(I
2、EDs组)和常规肠内营养组(EN组)各29例,分别输注免疫增强型肠内营养制剂及常规肠内营养制剂。于术前1d和术后1、9d检测两组病人血清总蛋白(TP)、清蛋白(ALB)、前清蛋白(PA)、转铁蛋白(TRF)、肿瘤坏死因子a(TNF-a)、白细胞介素6(IL-6)和c一反应蛋白(CRP)的水平;观察病人术后并发症发生情况、肛门排气恢复时间及住院时间。结果与术前1d比较,术后1dIEDs组病人CRP、IL_6、TNF-a分别增加了735.7、38.8、36.8,差异有显著性(F一14.832~14O.743,t=9.773~22.382,P3、后9d与术后1d比较,CRP、IL一6、TNF-a分别降低了54.1、21.6%、20.3%,除IL-6恢复到术前1d水平外,CRP、TNF-a均显著高于术前1d水平(一2.226、18.056,P4、病人术后生存质量。[关键词]肠道营养;佐剂,免疫;胃肠肿瘤;手术后并发症;炎症[中图分类号]R735;R459.3[文献标志码]A[文章编号]1008—0341(2014)03—0216—03EFFECT0FIMMUNE—ENHANCEDENTERALNUTRIT10NONPOST0PERATIVEINFLAMMAToRYREACT10NINPATIENIAFTERRADICALRESECTIONFORGASTROINTESTINALCANCERTANGMei,LIYaling,CHENQiuju,WUCaixia,LEfBinghua,TANGWeu5、an(DepartmentofGeneralSurgery,TaiheHospital,HubeiMedicalCollege,Shiyan442000,China)~ABSTRACT]ObjectiveToinvestigatetheeffectofimmune—enhancedenteralnutrition(IEEN)oninflammatoryreactionsinpatientsaftersurgeryformalignanttumorsofgastr0intestinaltract(GIT).MethodsFifty—eightpatien6、tsaftersurgeryformalignanttumorsofGITwereevenlyrandomizedtotwogroupsasIEENandconventionalenteralnutrient(CEN).Theyweregi—yenIEENandCEN,respectively.Nutritionalindicators—TP,ALB,PA,TRF—andinflammatoryresponseindicators-CRP,IL-6,TNF—a—ofpatientsinbothgroupsweremeasured,onedaybefor7、eandoneandninedaysaftersurgery.Postoperativecomplications,passageofgasbyanus,andhospitalstaywereobserved.ResultsComparedwithonedaybeforesurgery,thepatientsinIEENgrouponedayaftersurgeryshowedanincreaseofCRP,IL-6,andTNF—alevelsby735.7%,38.8%and36.8,respectively(F一14.832—140.743,t一8、9.773—22.382,P<0.05);comparedwithonedayaftersur
3、后9d与术后1d比较,CRP、IL一6、TNF-a分别降低了54.1、21.6%、20.3%,除IL-6恢复到术前1d水平外,CRP、TNF-a均显著高于术前1d水平(一2.226、18.056,P4、病人术后生存质量。[关键词]肠道营养;佐剂,免疫;胃肠肿瘤;手术后并发症;炎症[中图分类号]R735;R459.3[文献标志码]A[文章编号]1008—0341(2014)03—0216—03EFFECT0FIMMUNE—ENHANCEDENTERALNUTRIT10NONPOST0PERATIVEINFLAMMAToRYREACT10NINPATIENIAFTERRADICALRESECTIONFORGASTROINTESTINALCANCERTANGMei,LIYaling,CHENQiuju,WUCaixia,LEfBinghua,TANGWeu5、an(DepartmentofGeneralSurgery,TaiheHospital,HubeiMedicalCollege,Shiyan442000,China)~ABSTRACT]ObjectiveToinvestigatetheeffectofimmune—enhancedenteralnutrition(IEEN)oninflammatoryreactionsinpatientsaftersurgeryformalignanttumorsofgastr0intestinaltract(GIT).MethodsFifty—eightpatien6、tsaftersurgeryformalignanttumorsofGITwereevenlyrandomizedtotwogroupsasIEENandconventionalenteralnutrient(CEN).Theyweregi—yenIEENandCEN,respectively.Nutritionalindicators—TP,ALB,PA,TRF—andinflammatoryresponseindicators-CRP,IL-6,TNF—a—ofpatientsinbothgroupsweremeasured,onedaybefor7、eandoneandninedaysaftersurgery.Postoperativecomplications,passageofgasbyanus,andhospitalstaywereobserved.ResultsComparedwithonedaybeforesurgery,thepatientsinIEENgrouponedayaftersurgeryshowedanincreaseofCRP,IL-6,andTNF—alevelsby735.7%,38.8%and36.8,respectively(F一14.832—140.743,t一8、9.773—22.382,P<0.05);comparedwithonedayaftersur
4、病人术后生存质量。[关键词]肠道营养;佐剂,免疫;胃肠肿瘤;手术后并发症;炎症[中图分类号]R735;R459.3[文献标志码]A[文章编号]1008—0341(2014)03—0216—03EFFECT0FIMMUNE—ENHANCEDENTERALNUTRIT10NONPOST0PERATIVEINFLAMMAToRYREACT10NINPATIENIAFTERRADICALRESECTIONFORGASTROINTESTINALCANCERTANGMei,LIYaling,CHENQiuju,WUCaixia,LEfBinghua,TANGWeu
5、an(DepartmentofGeneralSurgery,TaiheHospital,HubeiMedicalCollege,Shiyan442000,China)~ABSTRACT]ObjectiveToinvestigatetheeffectofimmune—enhancedenteralnutrition(IEEN)oninflammatoryreactionsinpatientsaftersurgeryformalignanttumorsofgastr0intestinaltract(GIT).MethodsFifty—eightpatien
6、tsaftersurgeryformalignanttumorsofGITwereevenlyrandomizedtotwogroupsasIEENandconventionalenteralnutrient(CEN).Theyweregi—yenIEENandCEN,respectively.Nutritionalindicators—TP,ALB,PA,TRF—andinflammatoryresponseindicators-CRP,IL-6,TNF—a—ofpatientsinbothgroupsweremeasured,onedaybefor
7、eandoneandninedaysaftersurgery.Postoperativecomplications,passageofgasbyanus,andhospitalstaywereobserved.ResultsComparedwithonedaybeforesurgery,thepatientsinIEENgrouponedayaftersurgeryshowedanincreaseofCRP,IL-6,andTNF—alevelsby735.7%,38.8%and36.8,respectively(F一14.832—140.743,t一
8、9.773—22.382,P<0.05);comparedwithonedayaftersur
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