脂肪乳剂对胃肠道肿瘤患者围手术期白细胞化学发光的影响

The effect of lipid emulsion on leukocyte chemiluminescence in patients with perioperative gastrointestinal cancer

  • 摘要: 目的:人体多形核白细胞(PMN)呼吸爆发产生的活性氧自由基是机体发挥防御机制的生化基础。白细胞化学发光(CL)高峰值的高低反映白细胞氧化杀菌能力。我们对完全胃肠外营养(TPN)溶液中脂肪乳剂对围手术期胃肠道癌症患者CL的影响进行研究。方法:14例经病理证实的进展期胃、结肠癌分为两组:①TPN-力能组,20% Lipovenoes提供30%非蛋白质热卡(NPC);②TPN-葡萄糖组,葡萄糖提供100%NPC。两组等氮、等热量,其余营养素均相同。结果:手术前后CL无明显差异。输液TPN 4d后,TPN-力能组CL明显升高,与术前比P<0.01,TPN-葡萄糖组,CL虽有升高,与术前比差异不显著(P>0.05)。结论:①手术创伤对CL的影响不大;②术后输TPN(20% Lipovenoes提供30%NPC)可增强白细胞化学发光。

     

    Abstract: Objective: The active free oxygen radicals broken out by respirationc of human polymorphoneuclear neutrophil are the biochemical basis of defence mechanism in human body. Our study was aimed to determine the levels of peak value of leukocyte chemiluminescence (LC) so that to reflect the ability of disinfection of white blood cells. Methods: The pictures of LC were studied from the patients with GI cancer supported by TPN with or without fat emulsion perioperatively. 14 of such cases comfired diagnosis of advanced gastric or colonic cancers were divided into two groups: (1)TPN with fat emulsion group. 30% nonprotein calories (NPC) was provided by 20% Lipovenoes. (2)TPN with glucose group. 100% NPC was provided by glucose. Overall other nutrients, nitrogen and carolies were given same in both groups. Results: The results showed that the pictures of LC were not significant difference pre and postoperatively, but the LC was more brightened after 4 days than that of preoperation in group Ⅰ (P<0.01);but was not significantly different in group Ⅱ (P >0.05). Conclusion: (1)The operation trauma of GI cancer does not affect the LC. (2)TPN with 30% NPC provided by 20% Lipovenoes may brighten the LC in patients with GI cancer postoperatively.

     

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