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|a pubmed25n0648.xml
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|a (DE-627)NLM194529002
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|a (NLM)20092710
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a chi
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100 |
1 |
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|a Zhou, Rui-Xiang
|e verfasserin
|4 aut
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|a The effect of enteral nutritional support and growth hormone on critical patients
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|c 2010
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|a Text
|b txt
|2 rdacontent
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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|a Band
|b nc
|2 rdacarrier
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|a Date Completed 05.05.2011
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|a Date Revised 22.01.2010
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To explore the effect of early enteral nutritional support and growth hormone (GH) on critical patients
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|a METHODS: Sixty-eight critical patients were divided into enteral nutrition (EN) group and EN+GH group, with 34 patients in each group, by random number table. All the patients in both group received early enteral nutritional support, at the same time, the patients in EN+GH group received GH 5 U, once a day for 10 days. The intake was isonitrogenous and isocaloric in both groups. Body weight, blood biochemistry examination, nutrition state and lactulose/mannitol test were performed before and 5 days and 10 days after nutritional support. Immune function was performed after 10 days. Nitrogen balance was measured daily
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|a RESULTS: The changes in body weight, albumin and transferring levels were more obvious in the EN+GH group than those in the EN group before and 5 days and 10 days after nutritional support, but the difference was not significant between the two groups. On the 5th and 10th day after treatment, the level of prealbumin [the 5th day:(25.34+/-4.26) g/L vs. (20.62+/-3.58) g/L; the 10th day: (27.34+/-4.25) g/L vs. (23.87+/-2.96) g/L] and that of fibronectin [the 5th day: (2.68+/-0.37) mg/L vs. (2.01+/-0.27) mg/L; the 10th day: (2.74+/-0.31) mg/L vs. (2.44+/-0.19) mg/L] in the EN+GH group were significantly higher than those in the EN group (all P<0.05). However, the level of lactulose/mannitol was significantly lower in EN+GH group than that in the EN group (the 5th day: 0.065+/-0.004 vs. 0.087+/-0.005, the 10th day: 0.027+/-0.002 vs. 0.053+/-0.004, both P<0.01). On the 10th day after treatment, the level of IgA in the EN+GH group was significantly lower than that in the EN group [(2.10+/-0.09) g/L vs.(3.45+/-0.25) g/L], but the levels of CD3 (0.682+/-0.049 vs. 0.606+/-0.046), CD4 (0.456+/-0.039 vs. 0.372+/-0.032), CD4/CD8 ratio (1.66+/-0.11 vs. 1.41+/-0.12), and the natural killer cell (NK cell, 0.139+/-0.011 vs.0.107+/-0.004) in the EN+GH group were significantly higher than those in the EN group (all P<0.05). The gut barrier function in the EN+GH group was superior to that in the EN group during nutritional support period. Nitrogen balance was positive in the EN+GH group [(27.54+/-23.15) mg/kg] and negative in the EN group [-(5.13+/-4.26) mg/kg]
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|a CONCLUSION: Early enteral nutritional support can improve state of nutrition, and it is combined with GH composition of protein may be improved and the immune function may be enhanced
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|a English Abstract
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|a Journal Article
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|a Randomized Controlled Trial
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|a Human Growth Hormone
|2 NLM
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|a 12629-01-5
|2 NLM
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700 |
1 |
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|a Weng, Fang-Zhong
|e verfasserin
|4 aut
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700 |
1 |
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|a Yan, Jun
|e verfasserin
|4 aut
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700 |
1 |
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|a Fan, Xue-Peng
|e verfasserin
|4 aut
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773 |
0 |
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|i Enthalten in
|t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
|d 1998
|g 22(2010), 1 vom: 22. Jan., Seite 40-3
|w (DE-627)NLM098227793
|x 1003-0603
|7 nnns
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773 |
1 |
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|g volume:22
|g year:2010
|g number:1
|g day:22
|g month:01
|g pages:40-3
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|a SYSFLAG_A
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|a GBV_NLM
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|a GBV_ILN_350
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|a AR
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|d 22
|j 2010
|e 1
|b 22
|c 01
|h 40-3
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