益生菌在胃腸外科術后患者中的應用_《華西醫學》

作者：

李樹清 , 吳登貴

四川省樂山市五通橋區人民醫院外二科,四川五通橋 614800;

關鍵詞：

益生菌營養支持腸屏障胃腸外科

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目的:探討益生菌聯合營養支持對胃腸外科術后患者腸功能和腸道菌群的影響。方法:36例胃腸道中等以上手術的患者,隨機分為研究組和對照組,每組18例。兩組術后均接受等氮等能量的營養支持,研究組患者于術后第3天開始每天加用益生菌制劑(6.6 × 10.7 colony forming units),共7天。監測治療期間患者的胃腸道癥狀、生命體征、腹瀉情況和菌群比例等。結果:兩組患者術后腹痛、腹脹、腸鳴音異常等胃腸道癥狀均無顯著差異 (P gt;0.05),兩組患者在術后第8和9天的腹瀉比例和腹瀉評分差異有顯著性意義(P lt;0.05)。治療結束后,研究組患者腸道雙歧桿菌和乳酸桿菌計數均較對照組高,兩組間差異有顯著性意義(P lt;0.05)。結論:在胃腸外科術后患者中應用益生菌可改善胃腸道癥狀、減輕腹瀉程度和糾正腸道菌群失調。

引用本文： 李樹清,吳登貴. 益生菌在胃腸外科術后患者中的應用. 華西醫學, 2009, 24(10): 2538-2539. doi: 復制

1.	DEITCH E A. Bacterial translocation or lymphatic drainage of toxic products from the gut: what is important in human beings[J]? Surgery, 2002, 131: 241244.
2.	JAIN P K, MCNAUGHT C E, ANDERSON A D, et al. Influence of synbiotic containing Lactobacillus acidophilus La5, Bifidobacterium lactis Bb 12, Streptococcus thermophilus, Lactobacillus bulgaricus and oligofructose on gut barrier function and sepsis in critically ill patients: a randomised controlled trial[J]. Clin Nutr, 2004, 23:467-475.
3.	HART G K, DOBB G J. Effect of a fecal bulking agent on diarrhea during enteral feeding in the critically ill [J]. JPEN, 1988, 12 (5): 465-468.
4.	LILLY D M, STILLWELL R H. Probiotics: growthpromoting factors produced by microorganisms[J]. Science, 1965, 147:747-748.
5.	LAUDANNO O M, CESOLARI J A, GODOY A, et al. Bioflora probiotic in immunomodulation and prophylaxis of intestinal bacterial translocation in rats[J]. Dig Dis Sci, 2008, 53:2667-2670.
6.	RAFTER J, BENNETT M, CADERNI G, et al.Dietary synbiotics reduce cancer risk factors in polypectomized and colon cancer patients[J]. Am J Clin Nutr, 2007, 85:488-496.
7.	ANDERSON A D, MCNAUGHT C E, JAIN P K, et al. Randomised clinical trial of synbiotic therapy in elective surgical patients[J]. Gut, 2004,53:241-245.

1. DEITCH E A. Bacterial translocation or lymphatic drainage of toxic products from the gut: what is important in human beings[J]? Surgery, 2002, 131: 241244.
2. JAIN P K, MCNAUGHT C E, ANDERSON A D, et al. Influence of synbiotic containing Lactobacillus acidophilus La5, Bifidobacterium lactis Bb 12, Streptococcus thermophilus, Lactobacillus bulgaricus and oligofructose on gut barrier function and sepsis in critically ill patients: a randomised controlled trial[J]. Clin Nutr, 2004, 23:467-475.
3. HART G K, DOBB G J. Effect of a fecal bulking agent on diarrhea during enteral feeding in the critically ill [J]. JPEN, 1988, 12 (5): 465-468.
4. LILLY D M, STILLWELL R H. Probiotics: growthpromoting factors produced by microorganisms[J]. Science, 1965, 147:747-748.
5. LAUDANNO O M, CESOLARI J A, GODOY A, et al. Bioflora probiotic in immunomodulation and prophylaxis of intestinal bacterial translocation in rats[J]. Dig Dis Sci, 2008, 53:2667-2670.
6. RAFTER J, BENNETT M, CADERNI G, et al.Dietary synbiotics reduce cancer risk factors in polypectomized and colon cancer patients[J]. Am J Clin Nutr, 2007, 85:488-496.
7. ANDERSON A D, MCNAUGHT C E, JAIN P K, et al. Randomised clinical trial of synbiotic therapy in elective surgical patients[J]. Gut, 2004,53:241-245.

《華西醫學》

益生菌在胃腸外科術后患者中的應用

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《華西醫學》

益生菌在胃腸外科術后患者中的應用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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