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目的:探讨烧伤后早期果胶强化要素膳对肠源性感染的防治效果。方法:以烧伤大鼠为模型,随机分2组,每组分别用要素膳(ED)或添加果胶的ED给予肠内营养7天。烧伤后,再用肠内营养支持7天,观察门静脉血(PVB)细菌培养,肠系膜淋巴结(MLN)细菌培养,血浆内毒素(LPS),肠粘膜DNA含量以及肠粘膜形态学等指标的变化。结果:添加果胶的ED能降低PVB和MLN的细菌易位率,降低LPS的水平(P<0.05),减少粘膜DNA的丢失(P<0.05),并有效地改善肠粘膜形态学变化。结论:果胶强化ED能够保护肠粘膜屏障,防治肠源性感染
Objective: To explore the prevention and treatment effect of early pectin fortified elements on gut-derived infection after burn. Methods: Burn rats were randomly divided into 2 groups. Each group received enteral nutrition for 7 days with ED or pectin. After burn, the patients were enrolled in enteral nutrition for 7 days. The changes of bacterial culture of PVB, bacterial culture of mesenteric lymph node (MLN), plasma endotoxin (LPS), intestinal mucosa DNA content and intestinal mucosa morphology were observed. Results: The addition of pectin ED reduced the bacterial translocation rate, decreased the LPS level (P <0.05), decreased the mucosal DNA loss (P <0.05), and effectively improved the intestinal mucosa morphology Learning changes. Conclusion: Pectin-enhanced ED can protect the intestinal mucosal barrier against enterogenous infection