首页|ω-3鱼油脂肪乳在肝胆胰恶性肿瘤患者术后肠外营养中的应用价值

ω-3鱼油脂肪乳在肝胆胰恶性肿瘤患者术后肠外营养中的应用价值

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目的:研究ω-3鱼油脂肪乳在肝胆胰恶性肿瘤手术患者术后肠外营养支持中的临床价值。方法选择52例肝胆胰恶性肿瘤切除术和完全胃肠外营养的患者,随机分为对照组和研究组。两组病人均接受等氮、等热量肠外营养支持,研究组另加用ω-3鱼油脂肪乳。比较手术前后两组病人血清总蛋白(TP)、血浆白蛋白(ALB)、前白蛋白(PA)、总胆红素(TBIL)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、碱性磷酸酶水平(ALP)、C 反应蛋白(CRP)和术后感染并发症的发生率。结果经术后连续7天的治疗,研究组病人TBIL、ALT、AST和ALP水平明显改善(P<0.05);感染并发症亦明显少于对照组(P<0.05);CRP水平明显下降(P<0.05)。结论肝胆胰手术患者术后应用ω-3鱼油脂肪乳,有利于炎症和肝功能的恢复。
The value of ω-3 fish oil lipid Emulsion in Patients after Surgical Pperation of Hepatobiliary and Pancreatic cancer
Objective To investigate the clinic value of ω-3 fish oil lipid emulsion in patients after surgical operation of hepatobiliary and pancreatic cancer . Methods 52 patients of post-operative hepatobiliary and pancreatic cancer were randomly divided in to control group and study group .Two groups were treated with iso-caloric,isonitrogenic parenteral nutrition and the study group was added ω-3 fish oil lipid emulsion.Comparison of Serum total protein(TP),Serum albumin(ALB), Prealbumin(PA),Total bilirubin(TBIL),Alanine aminotransferase(ALT),Aspartate aminotransferase(AST),alkaline phosphates(ALP),C -reactive protein(CRP) and the rate of infection complications was made between the two groups.Results The level of TBIL,ALT,AST,ALP,CRP were improved significantly(P<0.05)with reduced infection complication in the study group .Conclusion ω-3 fish oil lipid emulsion is conductive to the recovery of post -operative hepatobiliary and pancreatic cancer patients in liver function and inflammation status .

Hepatobiliary and pancreatic cancerω-3 fish oil lipid emulsionLiver functionParenteral nutrition

王中照、杨帆、顾然

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云南省昆明市嵩明县嵩阳卫生院,云南 嵩明 651700

云南省第一人民医院营养科,云南 昆明 650032

肝胆胰恶性肿瘤 ω-3鱼油脂肪乳 肝功能 肠外营养

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(5)
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