【短期肠外营养中麦芽糖的利用(作者简介)】。

P M Osswald, J P Striebel, D Boerner
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引用次数: 0

摘要

12例必须接受胆囊切除术或胃切除术的代谢健康患者,术后至并包括术后第2天,通过肠外途径(通过上肢静脉)间歇喂食麦芽糖-葡萄糖联合溶液与8%的结晶l -氨基酸混合物平行。在150克麦芽糖/天和250克葡萄糖/天的给药率下,同时给药80克氨基酸,平均碳水化合物利用率为82.5%。血液中的葡萄糖和麦芽糖水平随输注周期而波动,测量的游离脂肪酸水平是它们的镜像。总的来说,游离脂肪酸显著降低,表明碳水化合物供应充足,从而抑制了脂肪分解。通过测定酸碱参数、γ - gt、碱性磷酸酶、GOT、胆红素、尿酸、肌酐、血清电解质等客观判断耐受程度。没有发现可归因于输液管理的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Utilization of maltose during shorttime parenteral nutrition (author's transl)].

Twelve metabolically healthy patients, who had to undergo cholecystectomy or gastric resection, were fed intermittently by the parenteral route (via veins of the upper limbs) post-operatively up to and including the 2nd post-operative day with a combined maltose-glucose solution in parallel with an 8% mixture of crystalline L-aminoacids. At an administration rate of 150 g maltose/day and 250 g glucose/day with the simultaneous administration of 80 g aminoacids, the mean carbohydrate utilisation was 82,5%. The glucose and maltose levels in the blood fluctuated in accordance with the infusion periods and the free fatty acids levels measured were their mirror image. On the whole free fatty acids were lowered significantly, which indicates adequate carbohydrate supply with consequent inhibition of lipolysis. The degree of tolerance was determined objectively by measurement of the acid-base parameter, gamma-GT, alkaline phosphatase, GOT, bilirubin, uric acid, creatinine and serum electrolytes. No changes were found which could be attributed to the administration of the infusion solution.

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