歯科薬物療法
Online ISSN : 1884-4928
Print ISSN : 0288-1012
ISSN-L : 0288-1012
顎口腔顔面領域における術後栄養管理 (第II報)
―新経腸栄養剤T-330の臨床使用後のアミノグラムの術前後における変化について―
武田 則昭實成 文彦長畠 駿一郎合田 恵子鶴田 敬司浅川 冨美雪
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1993 年 12 巻 2 号 p. 118-129

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In the case of post operation nutritional maintenance in oral and maxillofacial region, enteral tube nutrition (T-330) mainly containing di-and tripeptide was applied for a week from the day after operation. Administered cases were 6 cases for mandibular/maxillary bone fracture, 2 cases for mandibular protrusion, and 1 case for temporomandibular joint ankylosis.
The results concerning plasma amino acid, serum albumin, and total protein were as follows :
1. In all cases, plasma amino acid after a week of administration of T-330 showed an increasing tendency when compared to that of preoperation. Furthermore plasma aminograms were well-balanced.
2. Serum albumin, serum total protein and fisher ratio in postoperation (7 days) showed no significant difference when compared to those in preoperation. Each examination value was within the normal limit.
3. Plasma 3-methylhistidines were N. D. (non-detective) but within the normal limit both in pre-and postoperation.
4. The results in fresh fractured mandibule/maxilla (6 cases) and comparatively older fractured mandibule (1 case) had the same tendency as those mentioned above.
From the above-mentioned results, we concluded that T-330 could be a suitable source of nitrogen for nutritional maintenance of the patient operated on for oral-maxillofacial diseases.
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