腸內營養(yǎng)對胃腸道腫瘤病人術后營養(yǎng)免疫和腸功能的影響.pdf

1、分類號密細Y腸內營養(yǎng)對胃腸道腫瘤病人術后營養(yǎng)免疫和腸功能的影響研究生：指導教師：合作指導教師：申請學位門類級別：專業(yè)名稱：研究方向：所在學院：902960單位代碼：10114學號：2003399池滋任丞渣教援菱絲苤塑援!逝壓童些堂值處型置腦道勝疆山西醫(yī)科大學第二臨床醫(yī)學院2006年5月20日山西醫(yī)科大學碩士學位論文Effectofenteralnutritiononnutritionsupportandcellularimmunityo

2、fpatientsaftersurgeryforgastroentericCanCerAbstractobjectives：Toevaluatetheefficiencyofenteralnutritioninthepost‘operativepatientsMethod：Aprospective，randomizedandcontrolledtrialwastakenFourtypatientswhounderwentabdomina

3、lsurgeryandneednutritionsupportforl0dayswererandomizedintotwogroups：enteralNutrition(踟groupandparenteralnutrition(PN)groupTheintakewasisonitrogenicandisocalorieInthetwogroupsBodyweight，nutritionstateandlactulose／mannitol

4、testbeforeoperationlthand5thand9thdayafteroperationandcellularimmunitywereanalysedResuits：(1)Thedlangesofbodyweight，albuminandtransferringweremoreobviousintheENgroupthanthoseinthePNgroup，buttherewasnosignificantdifferenc

5、ebetweenthetwoGroupsThechangesofpreatbuminandfibronectinintheENgroupweresignificantlyhigherthanthoseinthePNgroup(2)ThegutbarrierfunctionintheENgroupwassuperiortothatinthePNgroupduringnutritionsupportperiod(3)LevelsofCD3、

6、CD4、andCD4／CD8activityweredecreasedbutthatofCD8andlgnwasincreasedsignificantlyinPNgroupafteroperation(p005)InENgrouplevelsofCD3、CD4、CD8、andCD4／CD8activitydidnotchangesignificantlybutthatofIgMwasincreasedsignificantlyinEN

7、groupafteroperation(pO05)Conclusions：ComparedwithPNsupport，ENsupportcanefficientlyamelioratethenutritionstateofthepost—operativepatients，andimprovethegutbarrierfunctionandincreaseimmunityofthepostoperativepatientsKeyword