Иммуноориентированная нутритивная поддержка у пациентов с тяжелым нетравматическим внутримозговым кровоизлиянием


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Аннотация

В работе представлены результаты применения различных программ нутритивной поддержки у пациентов с тя-желым нетравматическим внутримозговым кровоизлиянием. Установлено выраженное снижение показателей как
клеточного, так и гуморального звеньев иммунитета в первые сутки от начала заболевания. Произведена оценка
влияния программы комбинированной энтерально-парентеральной нутритивной поддержки, включающей введе-ние дипептида аланин-глютамина, на показатели иммунитета, а также на тяжесть нутритивной недостаточности.
Представлена сравнительная характеристика осложнений при проведении рассматриваемых нутритивных про-грамм. Установлено, что применение аланин-глюмина в комплексной интенсивной терапии позволяет уменьшить
частоту развития пневмонии, отодвинуть сроки ее развития, уменьшить длительность ИВЛ, сроки лечения пациен-та в отделении реанимации.

Об авторах

Ю.В. Струк

Воронежская государственная медицинской академии им. Н.Н.Бурденко Белгородская областная клиническая больница Святителя Иоасафа

Автор, ответственный за переписку.
Email: author@vestnik-surgery.com

д.м.н., проф., зав. ка-федрой анестезиологии и реаниматологии ИДМО
Воронежской государственной медицинской акаде-мии им. Н.Н.Бурденко; e-mail: u_struk@mail.ru

С.В. Хомяков

Воронежская государственная медицинской академии им. Н.Н.Бурденко Белгородская областная клиническая больница Святителя Иоасафа

Email: author@vestnik-surgery.com

врач анестезио-лог-реаниматолог, заведующий отделением анесте-зиологии-реанимации №4 Белгородской областной
клинической больницы Святителя Иоасафа; e-mail:
aro.bokb@mail.ru

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