首页   按字顺浏览 期刊浏览 卷期浏览 The effect of route of nutrient administration on the nutritional state, catabolic horm...
The effect of route of nutrient administration on the nutritional state, catabolic hormone secretion, and gut mucosal integrity after burn injury

 

作者: H Saito,   O Trocki,   JW Alexander,   R Kopcha,   T Heyd,   SN Joffe,  

 

期刊: Journal of Parenteral and Enteral Nutrition  (WILEY Available online 1987)
卷期: Volume 11, issue 1  

页码: 1-7

 

ISSN:0148-6071

 

年代: 1987

 

DOI:10.1177/014860718701100101

 

出版商: SAGE Publications

 

数据来源: WILEY

 

摘要:

So that the efficacy of route of nutrient administration in thermal injury could be determined, a comparison was made between immediate enteral vs parenteral feedings in burned guinea pigs. Thirty‐five guinea pigs underwent both catheter gastrostomy and jugular vein catheterization. On postoperative day 8, burned animals [30% total body surface area (TBSA)] were divided into an intragastrically (ig) fed group (N = 14) and a parenterally (iv) fed group (N = 14). Animals in each group received 175 kcal/kg/day with a solution of identical nutrient value beginning 2 hr after burn. The body weight change until postburn day (PBD) 8 and the average nitrogen balance were significantly better in the ig group than in the iv group. Values were also higher for the iv group than for the ig group in the early postburn period for urinary vanillyl mandelic acid (VMA) (p less than 0.05), plasma cortisol (p less than 0.05), and plasma glucagon (p less than 0.05). Also, the iv group showed reduced mucosal weight and thickness compared to the ig group on PBD 1 (p less than 0.02). There were significant negative correlations between VMA excretion and body weight change, and between plasma cortisol and jejunal mucosal structure (thickness and weight). These findings suggest that immediate postburn enteral nutrition can provide better nutritional support than parenteral nutrition through the maintenance of gut mucosal integrity and the prevention of increased secretion of catabolic hormones.

 

点击下载:  PDF (690KB)



返 回