摘要
目的 :探讨儿童心脏术后有效的营养支持方法。 方法 :6 0例病儿分两组 ,试验组 4 0例 ,对照组 2 0例 ,全部病例均于术后常规补液、进食 ,试验组术后 4 8h皮下开始注射金磊生长激素 0 .2u/ (kg·d) ,连用 7天。膳食由营养科管理 ,术后的前 3天给予含高蛋白、高维生素的半流质饮食 ,3天后逐渐过渡到软食。监测指标为体重、上臂肌围、肱三头肌皮皱厚度、尿肌酐浓度、血清转铁蛋白、前白蛋白、免疫球蛋白、血清总蛋白、白蛋白、血红蛋白及红细胞计数。 结果 :试验组术后体重增加或保持术前水平的占 5 2 .5 % ,对照组占 2 0 .0 % ,两组比较有显著差异 (P <0 .0 5 ) ;试验组术后 6天 2 4h肌酐排出量、血清前白蛋白、转铁蛋白、免疫球蛋白与对照组比较 ,均有显著差异 (P <0 .0 1)。 结论 :心脏术后在常规使用营养支持的情况下 ,加用生长激素 ,可以促进机体有效利用营养物质 ,增加蛋白质的合成 ,有利于提高机体免疫功能。
Objectives: To discuss the effective method of nutritional support in children after heart operation. Methods: Of the total of 60 cases, the experimental group was composed of 40 cases,and the control group was composed of 20 cases. All patients were provided with parenteral nutrition.The growth hormone was used 48 hours after operation in the experimental group for 7 days.The body weight, arm circuit, urine creatinine, serum transferrin, serum pre albumin, serum albumin immune globumins, serum total bilirubin, hemoglobin and red blood cell count were measured. Results:The percentage of patients without body weight loss was 52.5% in experimental group,and 20.0% in control group.( P < 0.05 ).The serum pre albumin, serum transferrin and immune globumin were different obviously between the two groups ( P <0.01). There were no significant differences between the two groups with the other indexes. Conclusions:The growth hormone is useful in improving the nutritional status of patients with heart operation.
出处
《肠外与肠内营养》
CAS
2002年第4期196-198,共3页
Parenteral & Enteral Nutrition
