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本文报告20例头颈部肿瘤患者术后早期采用以猪全血水解提取混合氨基酸为氮源的营养要素膳(商品名要素灵)。经鼻饲营养8～17天,平均12天。每日用量100～500g,平均300g(1200cal,氮6.3g)。结果表明治疗7天后患者体重平均增加0.60±1.19kg,14天后血浆转铁蛋白由284.5±41.16mg/dl增加到307.1±41.07mg/dl。血浆前白蛋白术后22.57±9.02mg/dl增加到30.12±7.64mg/dl,氮平衡由术后的-6.41±3.58g/日上升到-0.21±3.38g/日(P<0.001)。未见不良反应,以后即可自由进食。
This article reports 20 patients with head and neck cancers early postoperative use of nutrient element diets (trade name Elemental Spirit) using porcine whole blood to hydrolyze mixed amino acids as a nitrogen source. Nasal feeding nutrition for 8 to 17 days, an average of 12 days. The daily dosage is 100-500g, with an average of 300g (1200cal, nitrogen 6.3g). The results showed that the average body weight increased by 0.60±1.19 kg after 7 days of treatment, and the plasma transferrin increased from 284.5±41.16 mg/dl to 307.1±41.07 mg/dl after 14 days. Plasma prealbumin increased from 22.57±9.02 mg/dl to 30.12±7.64 mg/dl, and nitrogen balance increased from −6.41±3.58 g/day to −0.21±3.38 g/day after surgery (P<0.001). No adverse reactions were seen and you were free to eat later.