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[无蛋白饮食和支链氨基酸(制剂Aminosteril-Hepa)对慢性实验性肝性脑病中选定生化指标的影响研究]

[Studies of the effect of a protein-free diet and branched-chain amino acids (preparation Aminosteril-Hepa) on selected biochemical indicators in chronic experimental hepatic encephalopathy].

作者信息

Boroń P, Szpakowicz T, Farbiszewski R, Flisiak R, Nowak H, Pytel B, Zimnoch L

出版信息

Neuropatol Pol. 1989;27(3):437-47.

PMID:2517893
Abstract

The latest observations suggest that a decreased level of serum branched-chain amino acids plays a role in the pathogenesis of liver encephalopathy. In this study we analysed the behaviour of the serum concentrations of: ammonia, phenols, alpha-amino nitrogen, tyrosine, phenylalanine and tryptophan in rats with thioacetamide-induced liver encephalopathy. The first group of rats was on protein-free diet and Aminosteril-Hepa (Fresenius FRG)--an amino acids solution with predominance of branched-chain amino acids. The second group of rats received a diet with 1 g/kg b.w. of protein daily. The levels of biochemical indices were analysed 0, 3, 5 and 7 days after liver encephalopathy development. The results of our study indicate a favourable influence of infusion a branched-chain amino acids solution (Aminosteril-Hepa) on the biochemical indices, particularly phenols and alpha-amino nitrogen in experimental liver encephalopathy.

摘要

最新观察结果表明,血清支链氨基酸水平降低在肝性脑病的发病机制中起作用。在本研究中,我们分析了硫代乙酰胺诱导的肝性脑病大鼠血清中氨、酚类、α-氨基氮、酪氨酸、苯丙氨酸和色氨酸浓度的变化情况。第一组大鼠采用无蛋白饮食,并输注Aminosteril-Hepa(德国费森尤斯公司生产)——一种以支链氨基酸为主的氨基酸溶液。第二组大鼠每天接受1 g/kg体重的蛋白质饮食。在肝性脑病发生后的0、3、5和7天分析生化指标水平。我们的研究结果表明,输注支链氨基酸溶液(Aminosteril-Hepa)对实验性肝性脑病的生化指标有有利影响,尤其是对酚类和α-氨基氮。

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