1.Low calorie parenteral nutrition in the elderly abdominal surgical patients
Aiqun CHENG ; Xiang LI ; Yongqiang WENG ; Weiping LI ; Junwen ZHOU ; Yiqun ZHOU ; Enzhao LUO
Chinese Journal of General Surgery 2001;0(08):-
ObjectiveTo determine the appropriate method of parenteral nutritional(PN) treatment in the elderly abdominal surgical patients. Methods48 operative and 33 nonoperative patients who were put in fasting state received parenteral nutrition for 5 days. The calorie supplied by nonprotein nutrition was 20kcal?kg1?d1 and the protein was 0.8~1.25g?kg1?d1. ResultsPN treatment could maintain the normal plasma protein level and had no influence on the liver and renal function. No side effects or metabolism disorders were noted in this series. ConclusionsLow calorie PN can be safely used in the elderly abdominal surgical patients.
2.Clinical application of lower caloric parenteral nutrition with glutamine dipeptide in elder abdominal surgical patients
Aiqun CHENG ; Yongqiang WENG ; Xiang LI ; Weiping LI ; Wenhong YU ; Enzhao LUO ;
Parenteral & Enteral Nutrition 1997;0(02):-
Objectives: To study the value of glutamine dipeptide supplemented lower caloric parenteral nutrition in elder abdominal surgical patients. Methods:Forty patients were randomly allocated into study group and control group, receiving isocaloric (83.6 kJ/kg?d -1 ) and isonitrogenous (0.16 g/kg?d -1 ) PN from post operation day1 to post operation day 6. The study group received 0.3 g of alanyl glutamine/(kg?d)? Plasma albumin, pre albumin, IgG, IgA and IgM level were measured and lymphocyte was counted before surgery and on days 1 and 7 after surgery. Nitrogen balances were calculated postoperatively on day 1, 4 and 7. Results:Compared with preoperation, plasma albumin and pre albumin levels were both decreased in two groups and was markedly decreased in the control group ( P