Bai M, Jiang Z, Ma Y
Department of Surgery, Peking Union Medical College Hospital, Beijing.
Zhonghua Yi Xue Za Zhi. 1996 Feb;76(2):116-9.
To investigate the effects of alanyl-glutamine dipeptide (Ala-Gln) enriched parenteral nutrition solution on intestinal mucosa or gut barrier since traditional parenteral nutrition leads to bacterial translocation.
The moderate operation stress was induced by 60% resection of small intestine. Qualified rats distributed in three groups: Chow group (n = 10) received standard rat chow, PN group (n = 10) received traditional parenteral nutrition solution only, and Ala-Gln group (n = 10) received glutamine dipeptide enriched nutritional solutions (3% Ala-Gln). Rats were maintained on their respective diets for 7 days.
Chow group and Ala-Gln group maintained serum glutamine concentration, villus height and mucosal thickness. The bacterial translocation rate in Chow group and Ala-Gln group was 20% and in PN group 70%.
Results demonstrate that Ala-Gln enriched nutritional solutions maintain intestinal adaptation and gut barrier function after massive intestinal resection.
由于传统肠外营养会导致细菌移位,研究富含丙氨酰谷氨酰胺二肽(Ala-Gln)的肠外营养溶液对肠黏膜或肠道屏障的影响。
通过切除60%的小肠诱导中度手术应激。将合格大鼠分为三组:普通饲料组(n = 10)给予标准大鼠饲料,肠外营养组(n = 10)仅给予传统肠外营养溶液,丙氨酰谷氨酰胺组(n = 10)给予富含谷氨酰胺二肽的营养溶液(3% Ala-Gln)。大鼠分别接受各自饮食7天。
普通饲料组和丙氨酰谷氨酰胺组维持血清谷氨酰胺浓度、绒毛高度和黏膜厚度。普通饲料组和丙氨酰谷氨酰胺组的细菌移位率为20%,肠外营养组为70%。
结果表明,富含丙氨酰谷氨酰胺的营养溶液在大面积肠切除术后可维持肠道适应性和肠道屏障功能。