Impact of mederate surgical trauma on substrate utilization
- VernacularTitle:中等手术创伤对病人能源物质代谢的影响
- Author:
Zhangshi SHI
- Publication Type:Journal Article
- Keywords:
Indirect calorimetry Surgical trauma Metabolism Substrate utilization
- From:
Parenteral & Enteral Nutrition
1997;0(04):-
- CountryChina
- Language:Chinese
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Abstract:
The study was designed to observe the impact of moderate surgical trauma on substrate utilization in 39patients(men,n=1 9;women,n=2 0 ) undergoing elective cholecystectomy. The utilization rate of carbohydrate,fat and protein was estimated on the day before operation and on the1 st,4th and7th post operative day by indirect calorimetry.The result showed that the postoperative utilization rate of carbohydrate was declined,and that of fat elevated significantly when compared with the preoperative values(P0 .0 5 ) .It suggested that the main energy source after moderate surgical trauma be from the oxidation of fat,which might be related to the change of metabolic hormone and the insulin resistance.
