Kirkpatrick J R, Dahn M, Lewis L
Am J Surg. 1981 Jan;141(1):116-21. doi: 10.1016/0002-9610(81)90023-4.
Fifty consecutive surgical patients were included in a randomized prospective study to determine the relative advantages and disadvantages of two types of nutritional support systems: one, selective hyperalimentation, relies on a balanced substrate formula, while the other, standard hyperalimentation, depends on carbohydrate and protein to satisfy the energy requirements of the patient. The patients who received the balanced substrate formula had significantly fewer complications than those receiving standard hyperalimentation, even though both groups achieved positive energy and nitrogen balance. The enhanced safety of selective hyperalimentation suggests its therapeutic superiority as a basic nutritional support system for a busy surgical service.
五十名连续接受手术的患者被纳入一项随机前瞻性研究，以确定两种营养支持系统的相对优缺点：一种是选择性全胃肠外营养，依赖于平衡的底物配方；另一种是标准全胃肠外营养，依靠碳水化合物和蛋白质来满足患者的能量需求。接受平衡底物配方的患者并发症明显少于接受标准全胃肠外营养的患者，尽管两组均实现了正能量和氮平衡。选择性全胃肠外营养更高的安全性表明，作为繁忙外科服务的基本营养支持系统，它具有治疗优势。
