結(jié)構(gòu)脂肪乳對胃癌及大腸癌病人手術(shù)后脂代謝及蛋白質(zhì)代謝的影響.pdf

1、山西醫(yī)科大學(xué)碩士學(xué)位論文結(jié)構(gòu)脂肪乳對胃癌及大腸癌病人手術(shù)后脂代謝及蛋白質(zhì)代謝的影響姓名：白璃申請學(xué)位級別：碩士專業(yè)：普通外科學(xué)指導(dǎo)教師：趙瑛20090415州醫(yī)科人學(xué)壩：學(xué)位論文TheeffectofstructolipidonplasmalipidmetabolismandproteinmetabolismofpostoperatiVegastriccancerandcolorectalcancerpatientsobjective：

2、AbstractToinvestigatetheeffectofstructolipidandphysicalmixedMCT／LCTonplasmalipidmetabolism，nitrogenbalanceandproteinmetabolismofpostoperativegastriccancerandcolorectalcancerpatientsMethods：48casespostoperativegastricCanC

3、erandcolorectalcancerpatientswhoneededparenteralnutritionsupportatleast5daysweredividedintoSTGgroupswith24casesandMCT／LCTgroupwith24casesintheprincipleofrandomized，blinded，controlandweresupportedbySTGorMCT／LCTwithequival

4、entnitrogenandcaloriefromfirstdayafteroperationfor5daysthenbloodsamplesweretestedfornitrogenbalancerespectivelyatfirstandsixthdayafteroperationandassayforlevelofserumprealbumin，tfiglyceride，cholesterolrespectivelyatdayof

5、postoperation，firstdayandsixthdayafteroperationAttheseconeddayafteroperationserumprealbumin，triglyceride，cholesterolwerealsomeasuredafterandbeforethellseofparenteralnutritionwealsecorededtheWeightofpatientsatthesixthdaya

6、fteroperationandbeforeoperationtogetherwiththetimeofinpatientResults：Comparedwiththepreoperation，theplasmatriglycerideandcholesteroloftwogroupsweredroppedobviouslyafteroperationandincreasedatthe6thdayafteroperationBetwee

7、nthetwogroups，thereWasagreaterincreaseintriglycerideandasmilerdecrdaseincholesterolinthepatientsofMCT／LCTgroupPostoperativeuseofSTGandMCT|LCTintravenousnutritionCancorrectedpatientswithnegativenitrogenbalanceandpromotedt

8、hesynthesisofserumprealbuminSTGCanmoresignificantlyimprovedpatientswithnegativemtrogenbalance，enhancedthelevelofserumprealbuminInthemaintenanceofbodyweightandshortenthehospitalonday，thereWasnosignificantdifferencebetween