丙氨酰谷氨酰胺对脓毒血症GSH和GIn水平影响及临床治疗效果分析

Effect of alanyl glutamine on GSH and GIn levels in sepsis patients and analysis of its clinical therapeutic effect

  • 摘要: 目的 分析丙氨酰谷氨酰胺对脓毒血症谷胱甘肽(GSH)、谷氨酰胺(GIn)水平影响及临床治疗效果。方法 选取2015年1月-2017年6月医院收治的脓毒血症患者94例,根据随机数字法不同分为对照组和试验组。对照组患者采用常规营养支持,试验组患者采用常规营养支持联合丙氨酰谷氨酰胺静脉匀速持续泵入,分析两组患者临床治疗效果。结果 治疗后,试验组患者ALB、TF、GSH、GIn水平高于对照组,hs-CRP、LPS水平均低于对照组(P<0.05);试验组患者呼吸机和抗菌药物使用时间分别为(4.75±1.66)d与(5.29±2.24)d,均短于对照组的(7.98±2.14)d、(9.65±3.00)d;试验组多器官功能障碍综合征发生率为12.77%,低于对照组的31.91%(P<0.05)。结论 丙氨酰谷氨酰胺治疗脓毒血症可有效改善机体营养状况,抑制炎症因子的表达,提高GSH、GIn水平,减少器官损伤,改善患者预后,且安全性高。

     

    Abstract: OBJECTIVE To analyze the effect of alanyl glutamine on glutathione (GSH) and glutamine (GIn) levels in sepsis patients and its clinical therapeutic effect. METHODS 94 patients with sepsis admitted in our hospital from Jan. 2015 to Jun. 2017 were selected, and divided into the control group and the experimental group according to the method of random number table. The control group was treated with conventional nutritional support, whereas the experimental group was treated with conventional nutritional support combined with continuous intravenous infusion of alanyl glutamine. The clinical therapeutic effect was analyzed for the two groups of patients. RESULTS After treatment, the levels of ALB, TF, GSH and GIn in the experimental group were significantly higher than those in the control group, while the levels of hs-CRP and LPS were significantly lower than those in the control group (P<0.05). The durations of ventilator and antibiotic use in the experimental group were (4.75±1.66) and (5.29±2.24) days, respectively, and those in the control group were (7.98± 2.14) and (9.65±3.00) days, respectively. The incidence of multiple organ dysfunction syndrome was 12.77% in the experimental group, significantly lower than that in the control group (31.91%) (P<0.05). CONCLUSION Alanyl glutamine treatment of sepsis can effectively improve the nutritional status of the patients, inhibit the expression of inflammatory factors, improve GSH and GIn levels, reduce organ damage, and improve the prognosis of patients, with high safety.

     

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