健脾行气法对腹部术后肠内营养患者影响的临床与实验研究-中西医结合临床专业论文.docxVIP

有所提高(只O．05)。实验组和对照组组间对比，除血清总蛋白(TP)外(PO．05)，其 有所提高(只O．05)。实验组和对照组组间对比，除血清总蛋白(TP)外(PO．05)，其 他实验室指标均比对照组有所提高，实验组的效果优于对照组(尺0．05)。 结论：肠内营养(EN)能提高患者的一般临床情况和某些实验室指标。健脾行气中药通 过健脾行气和活血化瘀的作用，能改善胃肠道对营养物质的吸收和利用能力，明显加 强肠内营养(EN)的效果，且无明显不良反应和副作用，提示健脾行气的中药组方对肠 内营养(EN)有一定的促进作用． 第三部分健脾行气法对腹部术后EN大鼠GH及营养的影响 目的：观察健脾行气中药组方对外科腹部术后肠内营养(EN)大鼠生长激素(GH)及 某些营养指标的影响。 方法：采用简单随机对照方法对30只SD大鼠进行腹部手术造模后随机分为EN组、 EN+中药低剂量组、EN+中药高剂量组，三组大鼠等热量供给肠内营养制剂，中药组 在刚基础上给予健脾行气中药治疗。于营养支持前后检测血清总蛋白、白蛋白、前 白蛋白和生长激素水平． 结果：接受健脾行气中药低、高剂量组大鼠的前白蛋白、生长激素水平高于EN组 (尺0．05)，其余指标无明显差异(／bO．05)． 结论：健脾行气中药能升高腹部术后EN大鼠生长激素和前白蛋白水平，加快腹部术 后EN大鼠的恢复． 关键词：健脾行气；腹部手术；肠内营养；动物实验 The The CI inic and experimentaI research about the affections after USing“strengthening spIeen and promoting 0i movement”method With EN in postoperative patients SpeoiaI ity CI inicaI integration of TCM and Western MedjoiRe PHD cand j date Yan Zhao Tutor Yuxing Cheng Abstract Clinical nutrition contain parenteral nutrition(PN)and enteral nutrition(EN)contemporaneity． It is also called surgical nutrition due to surgical doctor apply clinical nutrition in the beginning．The patient after received abdominal operation often has gastro—intestinal functional disorder， malabsorption and losing wight too much，SO for those patients received stronger nutrition supporting is more eager than those patient whom suffered from the other diseases and trauma．Nutrition supporting in earlier stage after operation would be benefit for the patients recovering from the desease， healing of the would．EN has the more merit than PN，such as making the metabolism more like the nature processes，and being very convenience for clinical using，maintaining the structure and function integrality of the intestinal mucosa cells，protecting the barrier of the intestinal mucosa 1ayer， preventing bacterial shifting invading，promoting the gastrointestinal motility，increasing the splanchnio blood flow，decreasing the incidence of liver damage． According to the traditional Chinese medicine(TcM)theory。“Spleen is