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鍥涖€佹棩甯哥敓娲讳腑鎬庝箞鍚

铏界劧鐗瑰畾铔嬬櫧璐ㄦ垨姘ㄥ熀閰稿彲鑳藉叿鏈夋綔鍦ㄧ殑鐗瑰畾鍏嶇柅鐩婂锛屼絾鏄浜庢櫘閫氫汉缇わ紝淇濇寔浣撳唴鍚勭被姘ㄥ熀閰哥殑鍏呰冻銆佸钩琛℃墠鏄淮鎸佸仴鍏ㄥ厤鐤姏鍜屽己鍋ヤ綋榄勭殑鍏抽敭銆傛垜鍥藉眳姘戣喅椋熸寚鍗楁帹鑽愶紝鍋ュ悍鐨勬垚骞翠汉姣忓ぉ搴旀憚鍏?.0锝?.2g铔嬬櫧璐ㄦ瘡鍗冨厠浣撻噸锛屼笖鍔ㄧ墿鎬ц泲鐧藉拰澶ц眴铔嬬櫧绛変紭璐ㄨ泲鐧藉簲鍗犳€荤殑鑶抽铔嬬櫧璐ㄦ憚鍏ラ噺鐨?0%~50%銆傚洜鑰岀洰鍓嶆帹鑽愪竴涓仴搴锋垚骞翠汉姣忓ぉ鎽勫叆鑲夌被锛堝寘鎷尓鑲夈€佺墰鑲夈€佺緤鑲夈€佺鑲変互鍙婂姩鐗╁唴鑴忕瓑锛?0锝?5g锛屾按浜х被40锝?5g锛岃泲绫?0锝?0g锛屽ザ鍒跺搧300g锛屽叏璋风被鍜屾潅璞嗙被50锝?50g锛屽潥鏋滅被10g[8]銆

琛?銆佸姩鐗╂€ч鐗╄泲鐧借川鍙婄浉鍏宠惀鍏荤礌鍚噺[9]锛堟瘡100g锛

椋熺墿鍚

铔嬬櫧璐?g)

鑴傝偑(g)

鑳嗗浐閱囷紙mg锛

閾?mg)

閽狅紙mg锛

鐚倝锛堣偉锛岀槮锛

13.2

37.0

80.0

1.6

59.4

缇婅倝锛堣偉锛岀槮锛

19.0

14.1

92.0

2.3

80.6

鐗涜倝锛堣偉锛岀槮锛

18.1

13.4

84.0

3.2

57.4

楦★紙鍧囧€硷級

19.3

9.4

106.0

1.4

63.3

楦紙鍧囧€硷級

15.5

19.7

94锛?

2.2

69.0

楣呰倝

17.9

19.9

74.0

3.8

58.8

楦¤泲锛堢孩鐨級

12.8

11.1

585

2.3

126.0

楦泲

12.6

13.0

565

2.9

106.0

楸块奔锛堝共锛屽彴婀炬灙涔岃醇锛

60.0

4.6

871.0

4.1

965.0

闈掗奔

20.1

4.2

108.0

0.9

47.4

琛?銆佹鐗╅鐗╄泲鐧借川鍙婄浉鍏宠惀鍏荤礌鍚噺[9]锛堟瘡100g锛

椋熺墿鍚

铔嬬櫧璐?g)

鑶抽绾ょ淮(g)

缁寸敓绱燛锛坢g锛

閽?mg)

璞嗚厫鐨

44.6

0.2

20.6

9.4

鑵愮

44.6

1.0

27.8

26.5

榛戣眴锛堥粦澶ц眴锛

36.1

10.2

17.4

3.0

榛勮眴锛堝ぇ璞嗭級

35.1

15.5

18.9

2.2

闈掕眴锛堥潚澶ц眴锛

34.6

12.6

10.1

1.8

铓曡眴锛堝甫鐨級

25.4

2.5

6.7

2.2

钖忕背

12.8

2.0

2.1

3.6

鐕曢害鐗

15.0

5.3

3.1

3.7

灏忛害绮夛紙鏍囧噯锛

11.2

2.1

1.8

3.1

鍗楃摐瀛愶紙鐐掞級

36.0

4.1

27.3

15.8

瑗跨摐瀛愶紙鐐掞級

32.7

4.5

1.2

188

浣嗘槸铔嬬櫧璐ㄧ殑闇€姹備篃瑕佸洜浜鸿€屽紓锛屼緥濡傦細

鑲捐剰鐤剧梾鎮h€咃細涓哄噺杞昏偩鑴忎唬璋㈣礋鎷咃紝铔嬬櫧璐ㄧ殑鎽勫叆閲忚閫傚綋鍑忓皯锛屼笖瑕佷互鎽勫叆浼樿川铔嬬櫧涓轰富锛

灏块吀澧為珮鍙婄棝椋庢偅鑰咃細涓轰簡鎺у埗浣撳唴鐨勫槍鍛ゅ惈閲忥紝闇€瑕佹帶鍒跺姩鐗╂€ц泲鐧界殑鎽勫叆閲忥紱

钀ュ吇涓嶈壇鑰呮垨搴峰鏈熺梾浜猴細搴旂浉搴斿湴澧炲姞铔嬬櫧璐ㄦ憚鍏ラ噺锛屽繀瑕佹椂鍙緷鐓ц嚜韬儏鍐碉紝鍦ㄦ棩甯搁ギ椋熷熀纭€涓婃瘡澶╁鍔?0-20g鐨勪钩娓呰泲鐧芥垨鐗涘ザ铔嬬櫧绛夎泲鐧借川琛ュ厖鍓傦紝浠ユ弧瓒虫満浣撻渶姹傘€

鎴戜滑閮界煡閬擄紝铔嬬櫧璐ㄦ憚鍏ヤ笉瓒充細褰卞搷鏈轰綋鐢熼暱鍙戣偛鐢氳嚦鏅哄埄鍙戣偛锛屽紩璧锋満浣撳厤鐤姏涓嬮檷浠ュ強绮惧姏涓嶈冻绛夛紝浣嗘槸铔嬬櫧璐ㄨˉ鍏呰繃閲忎篃浼氬浜轰綋閫犳垚浼ゅ銆傝泲鐧借川鎽勫叆杩囬噺涓€鑸槸鎸囬暱鏈熸憚鍏ヨ秴杩?5%鎬荤儹閲忕殑铔嬬櫧璐紝杩欎細澧炲姞鏈轰綋鑲濊剰鍜岃偩鑴忕殑浠h阿璐熸媴锛岃偁閬撳唴姣掔礌鍫嗙Н锛岀敋鑷充細褰卞搷鏈轰綋楠ㄥ瘑搴﹀紩璧烽璐ㄧ枏鏉俱€

鍙傝€冩枃鐚細

[1] Weyh C, Kr眉ger K, Strasser B. Physical Activity and Diet Shape the Immune System during Aging. Nutrients. 2020;12(3)

[2] CRUZAT V, MACEDO ROGERO M, NOEL KEANE K, et al. Glutamine: Metabolism and Immune Function, Supplementation and Clinical Translation[J]. Nutrients, 2018, 10(11).

[3] TAO K M, LI X Q, YANG L Q, et al. Glutamine supplementation for critically ill adults[J]. Cochrane Database Syst Rev, 2014, (9): Cd010050.

[4] VAN ZANTEN A R, DHALIWAL R, GARREL D, et al. Enteral glutamine supplementation in critically ill patients: a systematic review and meta-analysis[J]. Crit Care, 2015, 19: 294.

[5] GUO G H, XU C, BAI X J, et al. [Effects of arginine enriched enteral nutrition on nutritional status and cellular immunity in burn patients][J]. Zhonghua Shao Shang Za Zhi, 2009, 25(3): 211-214.

[6] ZHAO H, ZHAO H, WANG Y, et al. Randomized clinical trial of arginine-supplemented enteral nutrition versus standard enteral nutrition in patients undergoing gastric cancer surgery[J]. J Cancer Res Clin Oncol, 2013, 139(9): 1465-1470.

[9] NAKAMURA I. Impairment of innate immune responses in cirrhotic patients and treatment by branched-chain amino acids[J]. World J Gastroenterol, 2014, 20(23): 7298-7305.

[8]涓浗钀ュ吇瀛︿細.涓浗灞呮皯鑶抽鎸囧崡2016[M]. 浜烘皯鍗敓鍑虹増绀? 2016.

[9]鏉ㄦ湀娆?涓浗椋熺墿鎴愬垎琛?010(淇鐗?[M]. 鍖椾含澶у鍖诲鍑虹増绀? 2010.

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鑻忓叕缃戝畨澶?2041102000483鍙饵/a>缃戠珯鏍囪瘑鐮?3204000025鑻廔CP澶?5003616鍙饵/a>