| 汪睿 谢静 柴雁菁 缪希松 魏晓岗.2 型糖尿病胃肠转流术后早期肠内营养对血糖的影响[J].现代生物医学进展英文版,2014,14(14):2736-2741. |
| 2 型糖尿病胃肠转流术后早期肠内营养对血糖的影响 |
| The Effect of Early Enteral Nutrion on Blood Glucosein Type 2 Diabetes Patients after RYGBP |
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| DOI： |
| 中文关键词: 2 型糖尿病 胃肠转流术 肠内营养 |
| 英文关键词: Type 2 diabetes Gastrointestinal bypass postoperative Enteral nutrition |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨2 型糖尿病Roux-en-Y 胃肠转流术（RYGBP）后早期肠内营养对患者血糖的影响。方法：回顾2011 年7 月至
2012 年7 月我科63 例不同发病年龄、不同病程的2 型糖尿病患者行Roux-en-Y 胃肠转流术（RYGBP）后的恢复情况。共分两组：
A 组为术后完全肠外营养直至胃肠道功能恢复正常的患者；B 组为术后早期开始肠内营养患者。监测两组患者术后3 天至2 周的
血清白蛋白含量、血脂、肠蠕动恢复时间、血糖水平、C 肽水平。结果：A、B 两组术后血清白蛋白含量及血脂水平无显著性差异。B
组患者肠功能恢复时间少于A组，血糖水平下降时间较A 组快，其血糖下降时间与肠功能恢复时间一致，B组血清C肽水平变
化时间较A 组提前。结论：2 型糖尿病胃肠转流术（RYGBP）后早期肠内营养支持可以促进肠道功能恢复，加快血糖水平下降，改
善胰岛调节功能。 |
| 英文摘要: |
| Objective:To investigate the effect of early enteral nutrion on blood glucose in type 2 diabetes patients who accepted
the surgery of Roux-en-Y gastrointestinal bypass postoperative (RYGBP).Methods:To review the recovery of 63 patients with type 2
diabetes after they received the surgery of RYGBP, from july 2011-july 2012. All patients were divided into two groups: patients in
Group A were given total parenteral nutrion until their gastrointestinal funtion recoveied normal; Patients in Group B were given early
enteral nutrion. And the level of serum albumin and blood lipids, peristalsis recovery time, the level of blood glucose and C-peptide were
detected.Results:The level of serum albumin and blood lipids had no significent difference in group A and group B. The peristalsis
recovery time of group B was less than group A, and the level of blood glucose of group B drop faster than that in group A. The time of
blood glucose dropped keep consistent with the time of peristalsis recovery. The time of C-peptide change in group B was ahead of group
A.Conclusion:Early enteral nutrion after RYGBP in patients with type 2 diabetes can promote recovery of intestinal function, accelerate
the decline of glucose level, and improve the adjustment function of islet. |
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