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营养不良患者主要的氮平衡决定因素。

Main nitrogen balance determinants in malnourished patients.

作者信息

Radrizzani D, Iapichino G, Scherini A, Ferrero P, Doldi S B, Solca M, Colombo A, Leoni L, Damia G

出版信息

Intensive Care Med. 1986;12(4):308-11. doi: 10.1007/BF00261742.

DOI:10.1007/BF00261742
PMID:3093549
Abstract

Factors influencing nitrogen balance during total parenteral nutrition have been investigated in 38 malnourished patients studied for a cumulative period of 280 days. According to multiple regression analysis, nitrogen intake (0.213 +/- 0.004 g kg-1 day-1, mean +/- SD) proved to be the major determinant of a positive nitrogen balance (0.018 +/- 0.004 g kg-1 day-1), followed by non-protein energy intake (43.3 +/- 0.5 kcal kg-1 day-1). Total calorie intake to predicted basal energy expenditure and non protein calorie to nitrogen ratios appeared to have little significance on nitrogen balance, when corrected for the two former variables.

摘要

在38例营养不良患者中进行了为期280天的累计研究,以探讨全胃肠外营养期间影响氮平衡的因素。根据多元回归分析,氮摄入量(0.213±0.004 g·kg⁻¹·d⁻¹,均值±标准差)被证明是正氮平衡(0.018±0.004 g·kg⁻¹·d⁻¹)的主要决定因素,其次是非蛋白质能量摄入量(43.3±0.5 kcal·kg⁻¹·d⁻¹)。在校正了前两个变量后,总热量摄入与预测基础能量消耗的比值以及非蛋白质热量与氮的比值对氮平衡似乎没有显著意义。

相似文献

1
Main nitrogen balance determinants in malnourished patients.营养不良患者主要的氮平衡决定因素。
Intensive Care Med. 1986;12(4):308-11. doi: 10.1007/BF00261742.
2
The main determinants of nitrogen balance during total parenteral nutrition in critically ill injured patients.危重伤病患者全胃肠外营养期间氮平衡的主要决定因素。
Intensive Care Med. 1984;10(5):251-4. doi: 10.1007/BF00256262.
3
Effects of increasing glucose intake on nitrogen balance and energy expenditure in malnourished adult patients receiving parenteral nutrition.增加葡萄糖摄入量对接受肠外营养的营养不良成年患者氮平衡和能量消耗的影响。
Clin Sci (Lond). 1987 Apr;72(4):489-501.
4
Effects of increasing nitrogen intake on nitrogen balance and energy expenditure in nutritionally depleted adult patients receiving parenteral nutrition.增加氮摄入量对接受肠外营养的营养耗尽成年患者氮平衡和能量消耗的影响。
Am J Clin Nutr. 1983 Jun;37(6):930-40. doi: 10.1093/ajcn/37.6.930.
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Effects of glucose on nitrogen balance during high nitrogen intake in malnourished patients.葡萄糖对营养不良患者高氮摄入期间氮平衡的影响。
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Hum Nutr Clin Nutr. 1983 May;37(3):185-96.
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本文引用的文献

1
Protein sparing and protein replacement in acutely injured patients during TPN with and without amino acid supply.在全胃肠外营养期间,急性损伤患者在有或没有氨基酸供应情况下的蛋白质节省和蛋白质替代。
Intensive Care Med. 1982 Jan;8(1):25-31. doi: 10.1007/BF01686850.
2
Optimal energy and nitrogen intake for gastroenterological patients requiring intravenous nutrition.需要静脉营养的胃肠病患者的最佳能量和氮摄入量。
Gastroenterology. 1982 Mar;82(3):445-52.
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Net protein utilization during total parenteral nutrition of injured critically ill patients: an original approach.
JPEN J Parenter Enteral Nutr. 1981 Jul-Aug;5(4):317-21. doi: 10.1177/0148607181005004317.
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Effects of two energy: nitrogen ratios in patients with gastroenterological disease and malnutrition.
JPEN J Parenter Enteral Nutr. 1980 May-Jun;4(3):272-6. doi: 10.1177/014860718000400306.
5
Energy and the maintenance of the body cell mass.能量与机体细胞群的维持。
JPEN J Parenter Enteral Nutr. 1980 May-Jun;4(3):228-60. doi: 10.1177/014860718000400302.
6
Studies on calorie to nitrogen ratio for total parenteral nutrition.
Surg Gynecol Obstet. 1980 Jul;151(1):1-8.
7
Nutritional requirements of adult surgical patients.成年外科手术患者的营养需求。
Crit Care Med. 1980 Jan;8(1):9-20. doi: 10.1097/00003246-198001000-00003.
8
The main determinants of nitrogen balance during total parenteral nutrition in critically ill injured patients.危重伤病患者全胃肠外营养期间氮平衡的主要决定因素。
Intensive Care Med. 1984;10(5):251-4. doi: 10.1007/BF00256262.
9
Malnutrition and the respiratory system.
Chest. 1984 Mar;85(3):411-5. doi: 10.1378/chest.85.3.411.
10
Energy and protein requirements of general surgical patients requiring intravenous nutrition.需要静脉营养的普通外科患者的能量和蛋白质需求。
Br J Surg. 1984 Jan;71(1):1-9. doi: 10.1002/bjs.1800710102.