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新生仔猪全胃肠外营养模型的建立与验证

Development and validation of a total parenteral nutrition model in the neonatal piglet.

作者信息

Wykes L J, Ball R O, Pencharz P B

机构信息

Research Institute, Hospital for Sick Children.

出版信息

J Nutr. 1993 Jul;123(7):1248-59. doi: 10.1093/jn/123.7.1248.

Abstract

A model was developed for total parenteral nutrition (TPN) in neonatal piglets, with ingredients typical of those in clinical use. Our goal was to characterize the model and to compare growth and body composition of TPN-fed piglets with a reference sow-fed group. Forty piglets (1 to 3 d of age) received TPN (1040 kJ.-1.d-1, 14.6 g.kg-1.d-1 of amino acids, with nonprotein energy supplied equally by glucose and fat) for 8 d. Weight gain, linear growth, serum biochemistry, hematology and body composition were compared with the reference group of 20 sow-raised piglets. Piglets receiving TPN gained 63 +/- 12 g.kg-1.d-1, less than the mean (79 +/- 21 g.kg-1.d-1, P < 0.01), but within the range (49-118 g.kg-1.d-1), of sow-raised piglets. The TPN-fed piglets used the amino acids in TPN effectively, retaining 80% of infused nitrogen. At postmortem, dry-matter analysis of the bodies yielded similar findings in both groups. Wet-tissue protein concentration was lower in TPN-fed animals (12.5 +/- 0.8 vs 13.8 +/- 1.8 g.100 g body wt) because TPN-fed piglets were more hydrated. Ash concentration was lower in TPN-fed piglets, reflecting limitations in calcium and phosphorous supply.

摘要

我们建立了一个新生仔猪全胃肠外营养(TPN)模型,其成分与临床使用的典型成分相同。我们的目标是对该模型进行表征,并将接受TPN喂养的仔猪与参考母猪喂养组的生长和身体组成进行比较。40头仔猪(1至3日龄)接受TPN(1040 kJ·kg-1·d-1,14.6 g·kg-1·d-1氨基酸,非蛋白能量由葡萄糖和脂肪平均提供)8天。将体重增加、线性生长、血清生化、血液学和身体组成与20头母猪饲养的仔猪参考组进行比较。接受TPN的仔猪体重增加63±12 g·kg-1·d-1,低于平均值(79±21 g·kg-1·d-1,P<0.01),但在母猪饲养仔猪的范围内(49-118 g·kg-1·d-1)。接受TPN喂养的仔猪有效利用了TPN中的氨基酸,保留了80%注入的氮。在死后,两组动物尸体的干物质分析得出了相似的结果。接受TPN喂养的动物湿组织蛋白浓度较低(12.5±0.8对13.8±1.8 g/100 g体重),因为接受TPN喂养的仔猪水分含量更高。接受TPN喂养的仔猪灰分浓度较低,反映了钙和磷供应的限制。

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