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1. 重庆医科大学临床学院烧伤整形科
2. 重庆医科大学临床学院烧伤整形科,重庆,400016
纸质出版日期:2003,
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[1]果磊,贺光照,黄崇本.谷氨酰胺(GLN)颗粒剂治疗严重烧伤病人的疗效及安全性观察[J].重庆医科大学学报,2003(04):509-512.
GUO Lei, et al. Observation of the efficacy and safety of L-glutamine granules in treating severe burn patients[J]. Journal of Chongqing Medical University, 2003,(4):509-512.
[1]果磊,贺光照,黄崇本.谷氨酰胺(GLN)颗粒剂治疗严重烧伤病人的疗效及安全性观察[J].重庆医科大学学报,2003(04):509-512. DOI: 10.13406/j.cnki.cyxb.2003.04.031.
GUO Lei, et al. Observation of the efficacy and safety of L-glutamine granules in treating severe burn patients[J]. Journal of Chongqing Medical University, 2003,(4):509-512. DOI: 10.13406/j.cnki.cyxb.2003.04.031.
目的 :评价谷氨酰胺颗粒剂对严重烧伤病人肠道损害的治疗效果和药物的安全性。方法 :采用随机双盲对照法
将2 2例受试病人随机分为对照组和治疗组。治疗组口服谷氨酰胺颗粒剂每日 30 g
对照组服相同剂量安慰荆
共 7天。观察血浆GLN浓度、肠粘膜受损程度、血浆蛋白水平及免疫功能指标。结果 :用药 7天后
GLN治疗组患者血浆谷氨酰胺含量明显高于对照组 (P <0 .0 5 )
肠粘膜受损程度明显低于对照组 (P <0 .0 1)。应用谷氨酰胺颗粒剂后患者血浆蛋白水平及免疫功能指标明显高于对照组。住院日数较对照组明显缩短。结论 :服用谷氨酰胺能显著提高血浆谷氨酰胺浓度
明显减轻烧伤后肠粘膜受损程度
维护肠粘膜屏障功能
增强机体免疫功能
并能纠正机体负氮平衡
促进创面愈合
且无严重并发症。
Objective:To evaluate the clinical therapeutic effect of L-glutamine granules on intestinal damage of severe burn patients and the safety of the drug.Methods:Twenty-two severe burn patients were randomly divided into control group(C group
n =11) and L-glutamine treatment group ( n =11).GLN treatment group were given L-glutamine in a dose of 30g per day for 7 days and C group were given equal amount of placebo.The plasma L-glutamine concentration
the severity of intestinal mucosa damage
the level of plasma protein and parameters of immunological function were observed and the length of hospital stay was recorded.Results:After 7 days of taking L-glutamine orally
plasma L-glutamine concentration was significantly higher and the severity of intestinal mucosal damage were slighter in GLN treatment group than those in C group.The level of plasma protein and parameters of immunological function were higher in GLN treatment group than those in C group.In addition
the length of hospital stay was shorter in GLN treatment group than those in C group.Conclusion:Administration of L-glutamine can raise the plasma GLN level
abate the severity of intestinal damage obviously
maintain the barrier function of intestinal mucosa
enhance the immunological function
correct the negative nitrogen balance and promote the wound healing with no complications.
L-谷氨酰胺:肠粘膜屏障肠源性细菌内毒素移位伤口愈合烧伤
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