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頁籤選單縮合
| 題 名 | 白蛋白輸液與營養支持對胃切除病患之血清白蛋白濃度的影響 |
|---|---|
| 作 者 | 蔡敬民; | 書刊名 | 中華民國營養學會雜誌 |
| 卷 期 | 17:3/4 民81.10 |
| 頁 次 | 頁201-213 |
| 分類號 | 411.38 |
| 關鍵詞 | 切除; 白蛋白; 血清; 胃; 病患; 輸液; 營養; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究的目的在探討白蛋白輸液與營養支持對胃切除患者 復原之影響。實驗共篩選出24位受試者,分成四組:(1)加輸白蛋白液 並給予足夠的營養支持(TN組);(2)加輸白蛋白液但營養支持不足(Tn 組);(3:未輸白蛋白液而營養支持足夠(tN組);(4)未輸白蛋白液且營養 支持不足(tn組)。於手術後觀察病患每週血清白蛋白值的變化,來比 較外輸白蛋白液與營養支持等因子對體內血清白蛋白值之影響。實 驗結果顯示,手術後血清白蛋白總平均值≧3.0g/dL的病患比平均值 <3.0g/dL者有較好的腸道耐受性與較短的恢復期。接受白蛋白外輸液 的兩組(TN組和Tn組)在手術後前兩週的血清白蛋白平均值與後兩週 並無顯著差異(P<0.10),而無外輸液兩組(tN組和tn組)後兩週的血清 白蛋白平均值卻比前兩週的值顯著上升(P<0.05)。在營養支持足夠的 狀況下(TN組和tN組),患者的血清白蛋白平均值略有(p<0.10)上升的 現象,但營養支持不足時(Tr組和tn組),其血清白蛋白的平均值有下 降的趨勢(p<0.10),而且比營養支持足夠者有較長的住院天數。由此 可以看出,血清白蛋白可以做為臨床狀況的良好指標,而且足夠的 營養支持似乎比昂貴的白蛋白外輸液更能幫助患者血清白蛋白的 回升。 |
| 英文摘要 | This study was designed to investigate the effects of albumin transfusionand/or nutritional support on the level of serum albumin and recovery fromsurgery in gastrectomic patinets. Twenty four subjects engaged in this studywere divided into four groups, one was supplied with parenteral albumin and adequate nutritional support (TN); one was given with parenteral albumin but inadequate nutritional support (Tn); one had adequate nutritional support but no albumin transfusion (tN); and the last group was supplied with neither parenteral albumin nor adequate nutritional support (tn). The serum albumin was determinedevery week during the hospitalization in order to study which is the major factor, albumin transfusion or nutritional support, affecting the levels of serum albumin. The data showed that the enteral feeding tolerance and recovery from surgeryin the patients with initial serum albumin ≧ 3.0 g/dL were better than those withserum albumin < 3.0 g/dL. The average serum albumin during the 3rd and 4thweeks .(2nd 2wks) after operation was not higher (p> 0.10) than that during the1st and 2nd weeks (1st 2wks) in the albumin trasndusion groups (TN & Tn),whereas it was higher (p < 0.05) in non-transfusion groups (tN & tn). Theserum albumin was slightly increased (p < 0.10) under adequate nutritional support (TN & tN), but was slightly decreased (p < 0.10) with inadequate nutritional support (Tn & tn). The patient without adequate nutritional support had longer(p <0.01) hospitalized day than those with adequate nutritional support. These data suggested that the level of serum albumin is a valuable prognostic index forclinical status. Enteral nutritional support seemed to be more effective than intravenous albumin transfusion which is quite expensive. |
本系統中英文摘要資訊取自各篇刊載內容。