Pokrovskaia G R, Shakhovskaia A K
Vopr Pitan. 1979 Jan-Feb(1):44-9.
In patients with sustained cholecystectomy the content of the basic bile components (cholesterol, cholic acid, total phosphorus) was measured. The cholate-cholesterol coefficient, enabling it to a certain degree to evaluate the lithogeneity of the bile, was calculated. The cholesterol concentration in the serum and bile was contrasted. A total of 104 patients were examined at different post-operative periodss and it was found that in 70 per cent of them the bile was not oversaturated with cholesterol. Two variants of the No. 5 diet were used--the sparing and fatty, differing in the amount of fat and carbohydrates. Under the effect of the No. 5 sparing diet a reduced serum cholesterol concentration was noted along with a noticeable rise of the cholic acid content in the bile with a not too brusque rise of the cholesterol level therein, which led to an increase of the cholate-cholesterol coefficient. Against the background of the treatment with a No. 5 fat diet in evidence was a diminution of the serum cholesterol content, a clearcut fall in the cholesteroland cholic acid concentration in the bile with a continuing fairly high cholate-chole sterol coefficient.
对接受持续性胆囊切除术的患者测定了胆汁基本成分（胆固醇、胆酸、总磷）的含量。计算了胆酸盐 - 胆固醇系数，该系数能在一定程度上评估胆汁的成石性。对比了血清和胆汁中的胆固醇浓度。共对104例患者在不同术后时期进行了检查，发现其中70%的患者胆汁中胆固醇未过饱和。采用了5号饮食的两种变体——清淡型和高脂型，二者脂肪和碳水化合物含量不同。在5号清淡饮食的作用下，血清胆固醇浓度降低，同时胆汁中胆酸含量显著升高，而其中胆固醇水平升高不太剧烈，这导致胆酸盐 - 胆固醇系数增加。在5号高脂饮食治疗的背景下，血清胆固醇含量降低，胆汁中胆固醇和胆酸浓度明显下降，而胆酸盐 - 胆固醇系数仍相当高。
