Clinical Study on Early Venous Glucose-free Nutrition after Hepatolobectomy

摘要

Objective: A randomized trial was designed to study the optimal nutrition after hepatolobec-tomy. Methods: Thirty-two patients receiving hepatolobectomy were randomly divided into 2 groups: 16 patients in the experimental group receiving high dose fat emulsion and amino acids without glucose for 7 days after hepatolobectomy, and 16 patients in the control group receiving traditional intravenous nutrition. Postoperative changes in blood glucose, lipid, amino acids and total ketone bodies were compared between two groups. Results: Postoperative glucose and lipid levels remained normal in the experimental group, while the free amino acids levels and utilization of ketone bodies were significantly higher than in the control group. Conclusion: Intravenous injection of glucose-free nutrition after hepatolobectomy could not only supply sufficient-calories, but also avoid metabolic disturbance due to intravenous injection of glucose.