脂肪乳剂,静脉注射用

脂肪乳剂,静脉注射用的相关文献在2001年到2021年内共计86篇,主要集中在药学、外科学、内科学 等领域,其中期刊论文86篇、专利文献109119篇;相关期刊44种,包括河北中医、医学临床研究、中华临床营养杂志等; 脂肪乳剂,静脉注射用的相关文献由317位作者贡献,包括王志萍、喻田、王海英等。

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脂肪乳剂,静脉注射用—发文趋势图

脂肪乳剂,静脉注射用

-研究学者

  • 王志萍
  • 喻田
  • 王海英
  • 吕丹妮
  • 徐鹏
  • 摆志霞
  • 朱雯
  • 李小娟
  • 王元琳
  • 陈伟
  • 期刊论文
  • 专利文献

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    • 李尚; 任崇仁; 赵浩亮; 常冰梅; 杨川丽; 王晋喜
    • 摘要: 目的 探讨肠外营养治疗中使用长链脂肪乳剂对低位直肠癌患者围术期营养状况的影响.方法 回顾性分析山西医科大学第三医院2017年1月至2020年6月204例行直肠癌手术治疗患者的临床资料.按照具体营养治疗方式分为两组,研究组100例使用长链脂肪乳剂进行肠外营养支持,对照组104例使用中/长链脂肪乳注射液.入院后根据患者主观整体营养状况评估量表(PG-SGA)及相关实验室检查结果对患者进行营养状况评估,术前第7天开始对患者进行营养及电解质支持治疗,术后采取肠外营养与肠内营养联合治疗及早期肠内营养的方式.记录并对比两组患者术前第7天、术后第1天、术后第7天的清蛋白、前清蛋白、视黄醇结合蛋白、总胆固醇、体质量指数(BMI)以及术后首次排气时间、术后并发症发生情况、术后发热情况和总住院时间.结果 研究组术后首次排气时间[(42±11)h比(54±10)h]、发热时间[(48±8)h 比(57±7)h]、总住院时间[(16.0±0.7)d 比(18.0±0.9)d]、术后第7天静息能量消耗[(5 326±589)kJ/d比(5 840±599)kJ/d]以及术后第7天总胆固醇[(4.8±0.3)mmol/L比(5.0±0.4)mmol/L]均低于对照组,研究组术后第7天清蛋白[(33±3)g/L比(28±3)g/L]、前清蛋白[(0.189±0.041)g/L比(0.164±0.037)g/L]及视黄醇结合蛋白[(0.039±0.016)g/L比(0.032±0.013)g/L]均高于对照组,两组差异均有统计学意义(均P<0.05).其他检测指标两组差异均无统计学意义(均P>0.05).结论 围术期存在营养不良的低位直肠癌患者使用长链脂肪乳剂可能更有利于机体恢复.
    • 宋颖; 吴秀萍
    • 摘要: 脂肪乳剂作为一种重要的营养制剂,广泛应用于新生儿特别是早产儿的肠外营养.本文旨在比较不同脂肪乳剂在组成、结构等方面的差异,探讨不同脂肪乳剂在新生儿中的适用性、安全性及不良反应,并对脂肪乳剂稳定性影响因素进行综述,以期为临床更合理的使用脂肪乳剂提供参考.
    • 宋颖; 吴秀萍
    • 摘要: 脂肪乳剂作为一种重要的营养制剂,广泛应用于新生儿特别是早产儿的肠外营养。本文旨在比较不同脂肪乳剂在组成、结构等方面的差异,探讨不同脂肪乳剂在新生儿中的适用性、安全性及不良反应,并对脂肪乳剂稳定性影响因素进行综述,以期为临床更合理的使用脂肪乳剂提供参考。
    • 唐启令; 丁月霞; 郑文文; 王菲
    • 摘要: 急性有机磷农药中毒(AOPP)是常见的急危重症之一,为提高临床救治率,多种新型治疗方法在临床得到认可.本研究就AOPP的中毒机制,经典药物胆碱酯酶复活药、抗胆碱能药的应用近况,其他类药物的新型应用如脂肪乳及血液净化治疗、中西医联合疗法作一综述,全面阐述这些药物及治疗方法在临床中的应用及取得的疗效.
    • 马忠扬; 王浩然; 岳艳; 张莉; 母得志
    • 摘要: 肠外营养(PN)是维持肠道功能障碍患儿生命的重要手段.但是,若患儿长期依赖PN,则可能导致严重并发症,如肠衰竭相关性肝病(IFALD)等.脂肪乳是PN制剂的重要组成成分.研究表明,第1代脂肪乳制剂(豆油脂肪乳制剂)是导致IFALD发生的原因之一,而第4代脂肪乳制剂(鱼油脂肪乳制剂)不仅无此不良反应,而且还可用于IFALD治疗.笔者拟对目前鱼油脂肪乳制剂治疗IFALD的有效性及安全性的研究现状进行阐述,旨在为临床对PN患儿的脂肪乳制剂选择提供参考.
    • 马卫平; 李金利
    • 摘要: Objective To observe the effect of enteral nutritional emulsion on nutritional status and immune function in patients with gastrointestinal cancer. Methods From January 2014 to January 2017,100 patients with gastrointestinal cancer in Yuncheng Central Hospital were selected in the research and randomly divided into two groups according to the digital table, with 50 cases in each group. All the patients underwent chemotherapy, the observation group was given enteral nutritional emulsion during chemotherapy. The indicators of nutritional status, immune function, the effect of chemotherapy, the incidence of adverse reactions were compared between the two groups. Results After treatment,the prealbumin,albumin,transferrin and hemoglobin levels in the observation group were (0. 30 ± 0. 07)g/ L,(32. 93 ± 1. 67)g/ L,(2. 61 ± 0. 15)g/ L,(109. 94 ± 2. 31)g/ L,respectively,which in the control group were (0. 19 ± 0. 09)g/ L,(30. 89 ± 1. 49)g/ L,(2. 49 ± 0. 14)g/ L,(108. 07 ± 2. 04)g/ L,respectively, there were statistically significant differences between the two groups(t = 6. 822,6. 445,4. 135,4. 291,all P < 0. 05). After treatment,the CD +3 ,CD4 / CD8,NK cells in the observation group were (43. 84 ± 7. 65)% ,(1. 70 ± 0. 18) and (37. 78 ± 7. 51)% ,respectively,which in the control group were (36. 12 ± 6. 57)% ,(1. 52 ± 0. 19) and (31. 07 ± 4. 20)% ,respectively,there were statistically significant differences between the two groups ( t = 5. 413,4. 863, 6. 124,all P < 0. 05). The objective response rate of the observation group (64% ) was significantly higher than that of the control group(44% )(χ2 = 4. 026,P < 0. 05). The incidence rate of adverse reaction of the observation group (18% ) was significantly lower than that of the control group(36% )(χ2 = 4. 110,P < 0. 05). Conclusion Enteral nutritional emulsion can effectively improve the nutritional status and immune function of patients with gastrointestinal cancer during chemotherapy,but also can effectively enhance sensitivity to chemotherapy,improve the effect of chemo-therapy,and the safety is reliable.%目的 观察肠内营养乳剂对胃肠道肿瘤患者营养状况和免疫功能的影响.方法 选取运城市中心医院胃肠外科2014年1月至2017年1月治疗的胃肠道肿瘤患者100例为研究对象,采用随机数字表法分为两组,每组50例.两组患者均行化疗,观察组在化疗期间给予肠内营养乳剂,比较两组患者的营养状况指标、免疫功能指标、化疗效果、不良反应发生率.结果 治疗后,观察组前清蛋白、清蛋白、转铁蛋白、血红蛋白分别为(0.30±0.07)g/L、(32.93±1.67)g/L、(2.61±0.15)g/L、(109.94±2.31)g/L,对照组分别为(0.19±0.09)g/L、(30.89±1.49)g/L、(2.49±0.14)g/L、(108.07±2.04)g/L,两组均差异有统计学意义(t=6.822、6.445、4.135、4.291,均P<0.05);治疗后,观察组CD+3、CD4/CD8、NK细胞分别为(43.84±7.65)% 、(1.70±0.18)、(37.78±6.51)%,对照组分别为(36.12±6.57)% 、(1.52±0.19)、(31.07±4.20)%,两组均差异有统计学意义(t=5.413、4.863、6.124,均P<0.05);观察组客观缓解率(64%)明显高于对照组(44%)(χ2=4.026,P<0.05),其不良反应发生率(18%)显著低于对照组的36%(χ2=4.110,P<0.05).结论 肠内营养乳剂可有效改善胃肠道肿瘤患者化疗期间的营养状况、免疫功能,还能有效增强化疗敏感性,提高化疗效果,安全性也较可靠.
    • 蔡建平; 周湘鸿; 余海波; 王亚东; 薛焕洲; 周炳喜; 李德宇
    • 摘要: Objective To analyze the effects of structured fat emulsion and medium/long chain fat emulsion on blood lipids,immune cells and acute inflammation after hepatectomy for hepatocellular carcinoma.Methods Total of 60 patients with hepatocellular carcinoma who underwent hepatectomy in Henan People's Hospital (Zhengzhou University People's Hospital) from January 2013 to March 2017 were divided into experimental group (using structured fat emulsion) and control group (using medium/long chain fat emulsion),30 cases in each group.Triglyceride (TG),high density lipoprotein cholesterol (HDL-C),low density lipoprotein cholesterol (LDL-C),total cholesterol (TC),T lymphocyte level,fibrinogen (FIB),C-reactive protein (CRP),prostaglandin E2 (PGE2) were detected before and 2,4,6 and 8 days after infusion.Results There were no significant differences in LDL-C,HDL-C,TG and TC between the two groups before infusion (P>0.05).On the 2nd day of parenteral nutrition infusion,the level of blood lipids in both groups was higher than experimental group before infusion;on the 4th,6th and 8th day of infusion,LDL-C,HDL-C,TG and TC in the control group were higher than those in the experimental group (P<0.05).After parenteral nutrition infusion,the levels of CD3+,CD4+,CD8+,CD4+/CD8+ in both groups were higher than experimental group before infusion,and the experimental group was higher than the control group,the differences were statistically significant (P<0.05).Compared with before infusion,level of FIB,CRP and PGE2 began to increase on the 2nd day of infusion,and the differences were statistically significant (P<0.05).On the 2nd,4th,6th and 8th day,CRP in the control group was higher than experimental group.And resepeatively (19.12±5.84) mg/ml vs.(13.76±2.36) mg/ml,(31.67±8.68) mg/ml vs.(17.21±2.66) mg/ml,(22.15±8.33) mg/ml vs.(12.48±0.63) mg/ml,(9.65±4.66) mg/ml vs.(7.52±0.99) mg/ml,and PGE2 were also higher than that in the experimental group (P<0.05).Conclusion Structured fat emulsion is superior to medium/long chain fat emulsion in improving blood lipid,immune cells and inflammatory reaction in patients after hepatectomy.%目的 分析结构脂肪乳与中/长链脂肪乳对肝癌切除术后患者血脂、免疫细胞及急性炎症反应的影响.方法 选取河南省人民医院(郑州大学人民医院)2013年1月至2017年3月60例行肝癌切除术患者,分为实验组(用结构脂肪乳)与对照组(用中/长链脂肪乳),各30例.输注脂肪乳前及输注第2、4、6、8天检测三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)、T淋巴细胞、纤维蛋白原(FIB)、C反应蛋白(CRP)、前列腺素E2(PGE2)水平.结果 输注前两组LDL-C、HDL-C、TG及TC差异无统计学意义(P>0.05).肠外营养液输注第2天,两组血脂水平均较输注前升高.输注第4、6、8天,对照组LDL-C、HDL-C、TG及TC高于实验组,差异有统计学意义(P<0.05).肠外营养输注后,两组CD3+、CD4+、CD8+、CD4+/CD8+水平均较输注前升高,且实验组高于对照组,差异有统计学意义(P<0.05).与输注前比较,两组输注第2天FIB、CRP以及PGE2开始升高,差异有统计学意义(P<0.05).第2、4、6、8天对照组CRP高于实验组,分别为(19.12±5.84) mg/ml比(13.76±2.36) mg/ml、(31.67±8.68) mg/ml比(17.21±2.66) mg/ml、(22.15±8.33) mg/ml比(12.48±0.63) mg/ml、(9.65±4.66) mg/ml比(7.52±0.99) mg/ml,PGE2也高于实验组,差异有统计学意义(P<0.05).结论 结构脂肪乳应用于肝癌切除术后患者,在改善血脂、免疫细胞以及炎症反应方面优于中/长链脂肪乳.
    • 张小刚; 郭秉荣; 刘菲; 马雅斌
    • 摘要: 2例男性患者(例1,64岁;例2,63岁)分别因拟行胃占位性病变外科手术和消化道出血而禁食并接受肠外营养治疗.2例均在首次静脉滴注脂肪乳(10%)/氨基酸(15)/葡萄糖(20%)注射液接近结束时出现乏力、冷汗,即时血糖分别为2.2和2.1 mmol/L,立即停药并静脉注射50%葡萄糖注射液40 ml.约10 min后,2例患者上述症状均消失,即时血糖分别为5.6和5.4 mmol/L.例2次日再次静脉滴注该药近结束时上述症状复现,即时血糖为2.6 mmol/L,停药并静脉注射50%葡萄糖注射液40 ml,静脉滴注10%葡萄糖注射液250 ml,约15 min后症状消失,即时血糖为5.9 mmol/L.%Two male patients(patient 1,64 years old;patient 2,63 years old)received parenteral nutrition in fasting state due to the future surgical operation for gastric space-occupying lesions and gastrointestinal bleeding,respectively.Both of them developed fatigue and cold sweat near the end of the first Ⅳ infusion of the lipid emulsion (10%)/amino acids (15) and glucose (20%) injection.Their instant blood glucose levels were 2.2 mmol/L and 2.1 mmol/L,respectively.The symptoms disappeared about 10 minutes after the immediate discontinuation of the injection and an intravenous injection of 50% glucose injection 40 ml.And their instant blood glucose levels were 5.6 mmol/L and 5.4 mmol/L,respectively.Patient 2 developed the above symptoms again near the end of the second infusion of the drug next day and his instant blood glucose level was 2.6 mmol/L.His symptoms disappeared again after the drug withdrawal and treatment of an intravenous injection of 50% glucose 40 ml and an Ⅳ infusion of 10% glucose 250 ml for about 15 minutes.Then his instant blood glucose level was 5.9 mmol/L.
    • 王维波; 汤梦琛
    • 摘要: 1例86岁男性患者因低容量性休克和营养不良给予胃肠外营养治疗,静脉滴注丙氨酰谷氨酰胺注射液(100 ml、1次/d)、脂肪乳氨基酸(17)葡萄糖(11%)注射液(1 440 ml、1次/d),用药前肝功能正常.用药第23天,患者出现皮肤轻度黄染,实验室检查示丙氨酸转氨酶(ALT) 342 U/L,天冬氨酸转氨酶(AST)236 U/L,y-谷氨酰转肽酶(γ-GT)322 U/L,碱性磷酸酶(ALP) 308 U/L,总胆红素(TBil) 116.2 μmol/L;用药第25天,患者全身皮肤黄染加重,因进食量少,需要继续上述治疗,同时加用保肝药.用药第32天,实验室检查示ALT 186 U/L,AST 113 U/L,γ-GT 237 U/L,ALP 220 U/L,TBil 139.7 μmol/L.停止胃肠外营养治疗,继续保肝对症治疗.停止胃肠外营养治疗44d后患者皮肤黄染消退,ALT 12 U/L,AST 14 U/L,γ-GT 37 U/L,ALP 72 U/L,TBil 27 μmol/L.%An 86-year-old male patient received parenteral nutrition therapy [IV infusions of alanyl glutamine injection 100 ml once daily and fat emulsion,amino acids (17) and glucose (11%) injection 1 440 ml once daily] for hypovolemic shock and malnutrition.His liver function was normal before medication.On day 23 after medication,the patient developed mild yellowish skin.Laboratory tests showed alanine aminotransferase (ALT) 342 U/L,aspartate aminotransferase (AST) 236 U/L,γ-glutamyl transpeptidase (γ-GT) 322 U/L,alkaline phosphatase (ALP) 308 U/L,and total bilirubin (TBil) 116.2 μmol/L.On day 25 after medication,the yellowish skin was aggravated.The above treatments were continued because of less food intake and hepatoprotective drugs were given at the same time.On day 32 after medication,laboratory tests showed ALT 186 U/L,AST 113 U/L,γ-GT 237 U/L,ALP 220 U/L,and TBil 139.7 μmol/L.The parenteral nutrition therapy was stopped and the liver protection therapy was continued.On day 44 after the drugs withdrawal,the patient's jaundice disappeared,ALT 12 U/L,AST 14 U/L,γ-GT 37 U/L,ALP 72 U/L,and TBil 27 μmol/L.
    • 王楠; 王莹; 颜伟慧; 陆丽娜; 陶怡菁; 蔡威
    • 摘要: 目的 观察ω-3鱼油脂肪乳剂对发生肠外营养相关肝损害肠衰竭患儿肝功能的影响.方法 回顾性分析发生肠外营养相关肝损害12例肠衰竭患儿的临床资料.观察ω-3鱼油脂肪乳剂治疗前后肠内肠外营养及肝功能变化.结果 ω-3鱼油脂肪乳剂治疗前应用肠外营养天数平均为77 d,ω-3鱼油脂肪乳剂治疗平均(26±16)d.治疗前,肠外营养热量(45.3±17.0)kcal·kg-1 ·d-1(1 kcal=4.184 kJ),脂肪乳剂剂量(1.3±0.4)g·kg-1·d-1,氨基酸剂量(2.1±0.5) g·kg-1·d-1,葡萄糖剂量(6.2±2.9) g·kg-1 ·d-1,肠内营养热量(29.1±17.2)kcal·kg-1 ·d-1,肝功能指标TBA、ALT、AST、AKP、γ-GT均高于正常值;治疗后,肠外营养热量(33.3±19.5)kcal·kg-1 ·d-1,脂肪乳剂剂量(1.0±0.6) g·kg-1·d-1,氨基酸剂量(1.4±0.7) g·kg-1 ·d-1,葡萄糖剂量(4.7±3.1) g·kg-1·d-1,肠内营养热量(64.3±37.9) kcal·kg-1·d-1,肝功能指标ALT、AST、GGT显著下降(P<0.05).结论 ω-3鱼油脂肪乳剂可能成为治疗肠外营养相关肝损害的有效措施之一.%Objective To determine the effect of ω-3 fish-oil lipid emulsion on liver functions in intestinal failure children with parenteral nutrition-associated liver diseases (PNALD).Methods A total of 12 intestinal failure children with PNALD were enrolled.The medical records of liver functions (TBA,ALT,AST,AKP,GGT,Tbi & Dbi),parenteral nutrition (PN) and enteral nutrition (EN) were collected before and after treatment with ω-3 fish-oil lipid emulsion.Results The average duration of PN was 77 days prior to treatment and the average duration of treatment was 26 ± 16 days.Before treatment,PN calories was (45.3 ± 17.0) kcal·kg-1 ·d-1,dosage of lipids (1.3 ± 0.4) g·kg-1 · d-1,amino acid (2.1 ±0.5) g·kg-1 ·d-1,carbohydrate (6.2 ± 2.9) g·kg-1 ·d-1 and EN calories (29.1 ± 17.2) kcal · kg-1 · d-1.After treatment,PN calories was (33.3 ± 19.5) kcal · kg-1 · d-1,dosage of lipids (1.0 ± 0.6) g· kg-1 · d-1,amino acid (1.4 ± 0.7) g · kg-1 · d-1,carbohydrate (4.7 ± 3.1) g· kg-1 ·d-1 and EN calorie (64.3 ± 37.9) kcal·kg-1 ·d-1.ALT,AST and GGT decreased significantly (P< 0.05).Conclusions ω-3 fish-oil lipid emulsion alleviates PNALD.It may be an effective treatment for PNALD.
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