Infusionstherapie und klinische Ernahrung最新文献_第3页

Improvement of the nutritional condition with hypocaloric peripheral parenteral nutrition (HPPN) in the immediate postoperative period of elective abdominal surgery. 低热量外周肠外营养(HPPN)对择期腹部手术术后即刻营养状况的改善。

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01 DOI: 10.1159/000222218

J M Culebras-Fernandez, M de la Hoz Riesco, C Villares Garcia, G Hurtado Fernandez-Llamazares, A Alonso Villalba

{"title":"Improvement of the nutritional condition with hypocaloric peripheral parenteral nutrition (HPPN) in the immediate postoperative period of elective abdominal surgery.","authors":"J M Culebras-Fernandez, M de la Hoz Riesco, C Villares Garcia, G Hurtado Fernandez-Llamazares, A Alonso Villalba","doi":"10.1159/000222218","DOIUrl":"https://doi.org/10.1159/000222218","url":null,"abstract":"Thirty-one patients scheduled for elective surgery for non-malignant abdominal disease were randomized during the first five postoperative days to two different schedules. Group I received water, electrolytes and glucose. Group II received a standard solution containing crystalline amino acids (3.8 g/l), xylitol (25 g/l) and sorbitol (25 g/l), accounting for a total of 900 cal/day. Evaluation was made with clinical, anthropometric and biochemical parameters. Among others, the following significant differences were observed at the end of the study: retinol bound protein: in group I, 4.25 +/- 1.3 and in group II, 5.38 +/- 1.53 (p less than 0.05); prealbumin: in group I, 18.7 +/- 6.24 and in group II, 24.51 +/- 7 (p less than 0.05). The significantly higher values of short-life plasma proteins observed in group II indicate that with HPPN a higher synthesis of visceral protein is promoted. These data demonstrate that HPPN improves the nutritional state during the postoperative period.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"14 5","pages":"202-8"},"PeriodicalIF":0.0,"publicationDate":"1987-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000222218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14250670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

[The disease picture of hepatic encephalopathy]. [肝性脑病的疾病图片]。

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01

H Schomerus

引用次数: 0

Conservative long-term treatment of chronic renal failure with keto acid and amino acid supplementation. 补充酮酸和氨基酸对慢性肾衰竭的长期保守治疗。

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01 DOI: 10.1159/000226327

R Schmicker, K Vetter, K Lindenau, P T Fröhling, F Kokot

{"title":"Conservative long-term treatment of chronic renal failure with keto acid and amino acid supplementation.","authors":"R Schmicker, K Vetter, K Lindenau, P T Fröhling, F Kokot","doi":"10.1159/000226327","DOIUrl":"https://doi.org/10.1159/000226327","url":null,"abstract":"In a group of 119 patients with advanced chronic renal failure (serum creatinine level 733 +/- 186 mumol/l) the effect of a low-protein diet supplemented with essential amino acids (EAA) or their keto analogues (KA) on uremic metabolism and rehabilitation status was investigated. The protein intake amounted to 0.4 g/kg B.W./day, the phosphorus intake 0.4-0.6 g/day and the energy supply 120-150 kJ/kg B. W./day. In 51 patients there was a substitution with EAA and in 68 patients with their KA. The mean duration of dietary treatment in this study was 19 months (6-64 months). During this time, the serum creatinine increased from 733 +/- 186 to 1,220 +/- 256 mumol/l, whereas the urea nitrogen values remained relatively constant at between 26 and 30 mmol/l. There were no signs of protein malnutrition (nitrogen balance, serum transferrin and serum protein were normal). The hemoglobin concentration remained at greater than 5 mmol/l with creatinine levels of 1,220 +/- 256 mumol/l. During the substitution with KA, there was a significantly greater decrease in serum phosphate (p less than 0.05) and parathyroid hormone (PTH) (p less than 0.01) as compared with the uremics given EAA. In addition, we found a significant increase in testosterone (p less than 0.01) in patients supplemented with KA. Despite advanced chronic renal failure there was a good degree of rehabilitation (full-time work: 21%; part-time work: 66.4%). It can be concluded that a low-protein diet supplemented with EAA or KA can improve the uremic metabolism, rehabilitation status and safely postpone the start of maintenance dialysis.","PeriodicalId":75931,"journal":{"name":"Infusionstherapie und klinische Ernahrung","volume":"14 Suppl 5 ","pages":"34-8"},"PeriodicalIF":0.0,"publicationDate":"1987-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000226327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14255681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

[Significance of branched-chain keto acids for protein metabolism]. [支链酮酸对蛋白质代谢的意义]。

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01

P Schauder

引用次数: 0

[Changes in organic acids in plasma and cerebrospinal fluid in cerebral infarct]. 脑梗死患者血浆和脑脊液中有机酸的变化

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01

W D Rausch, K Schnecker, J Bruck, P Riederer

引用次数: 0

Amino acid therapy for patients with chronic renal failure. 慢性肾功能衰竭患者的氨基酸治疗。

Infusionstherapie und klinische Ernahrung Pub Date : 1987-10-01 DOI: 10.1159/000226319

J Bergström, M Ahlberg, A Alvestrand, P Fürst