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[不同营养途径对烫伤大鼠肠道黏液屏障的影响]

[Effect of different nutritional routes on the intestinal mucus barrier in scalded rats].

作者信息

Peng Xi, Wang Shiliang, Wang Fengjun, Zhao Yun, Tao Linghui, You Zhongyi

机构信息

Institute of Burn Research, Southwestern Hospital, The Third Military Medical University. Chongqing, 400038, P.R. China.

出版信息

Zhonghua Shao Shang Za Zhi. 2002 Dec;18(6):339-42.

Abstract

OBJECTIVE

To observe the effect of different nutritional routes of giving nutrition on the intestinal mucus barrier in severely scalded rats.

METHODS

Wistar rats inflicted with 30% TBSA III degree scalding on the back were employed as the model and were randomly divided into 3 groups, i.e. control (C), parenteral nutrition (PN) and enteral nutrition (EN) groups. The rats in PN and EN groups were supplied with equal amount of nitrogen and calories and with equal volume of nutrition solution. The dynamic changes in the thickness of intestinal mucus layer and the contents of protein, hexose and acetylneuraminate in the mucus were examined.

RESULTS

When compared with those in C group, the intestinal mucus layer became thinner and the contents of protein, hexose and acetylneuraminate in the mucus in both PN and EN groups decreased evidently after scalding. When compared between two nutritional groups, the thickness of intestinal mucus layer and the contents of the hexose and acetylneuraminate in the mucus in EN were much thicker and higher than those in PN group, while the mucus protein content exhibited no obvious difference between PN and EN groups.

CONCLUSION

It was suggested that intestinal goblet cell synthesized and secreted less mucus after scalding in rats resulting in thinning of intestinal mucus layer and the change in mucus components. When compared with those in PN group, less injury to the intestinal goblet cells occurred and the intestinal mucus synthesis was less affected in EN group, and the components of intestinal mucus were maintained stable.

摘要

目的

观察不同营养途径对严重烫伤大鼠肠道黏液屏障的影响。

方法

采用背部30%体表面积Ⅲ度烫伤的Wistar大鼠作为模型,随机分为3组,即对照组(C)、肠外营养(PN)组和肠内营养(EN)组。PN组和EN组大鼠给予等量的氮和热量以及等量体积的营养液。检测肠道黏液层厚度以及黏液中蛋白质、己糖和唾液酸含量的动态变化。

结果

与C组相比,烫伤后PN组和EN组的肠道黏液层变薄,黏液中蛋白质、己糖和唾液酸含量明显降低。两组营养组比较,EN组肠道黏液层厚度以及黏液中己糖和唾液酸含量均明显厚于和高于PN组,而黏液蛋白含量在PN组和EN组之间无明显差异。

结论

提示烫伤后大鼠肠道杯状细胞合成和分泌黏液减少,导致肠道黏液层变薄和黏液成分改变。与PN组相比,EN组对肠道杯状细胞损伤较小,肠道黏液合成受影响较小,肠道黏液成分保持稳定。

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