中西医结合与临床营养

:(100730):,Tel:[phone],Email:[e-mail],,,,;;;IntegratedChineseandWesternMedicineandClinicalNutritionZHOUKai2guoandHEGui2zhenDepartmentofEnteralandParenteralNutrition,HospitalAffiliatedtoMedicalCollegeofPekingUniversity,Beijing(100730)ABSTRACTNutritionalsupport,animportantmeasureforcriticalpatientssubjecttomonitoring,iswidelyusedinclinicalpracticenow.NutrientshavebeenusedearlyintheChinesemedicinetherapy.AnumberofChi2nesemedicineprescriptionsshownutritionalimprovementandimmunefunctionenhancingeffectsoncriticaland/orpostoperativepatients,andsomeChineseherbsarenutrientsubstances.AlthoughthetheoreticalbasesofChinesemedicineandWesternmedicinearedifferent,theycouldworktogetherintheclinicalnutritionaltreatmenttoformatherapeuticmeasurewithChinesecharacteristics,whichcouldpromotetheheritageanddevelopmentofChinesemedicine.AdiscussionregardingtherelationshipbetweenChinesemedicinedrug2therapy,acupunctureandnutritionwasalsogiven.KEYWORDSintegrationofChineseandWesternmedicine;clinicalnutrition;Chinesedrug;acupuncture,18,Lavosier,(1810)(1844)(1856)(1888),1947B1220,1,,1,,,,,,2,,(leanbodymass),,,,,,3,,4,,CD+4,CD+814220103303CJITWM,March2010,Vol.30,No.3(P0105),(P0105),D25,,6(12g,10g),,,,,,7,,,8-10,IL22(P0105),1112,,,,132,,KupperA(secretoryimmunoglobulinA,S2IgA)14,15,,,,,:(1);(2);(3),/;(4);(5)16,IgA,S2IgA,,/17,,,,,18,,,,,,,,19,,,,,,S2IgA,5,3,,()20,21,,22(mi2gratingmotilitycomplex,MMC),M24220103303CJITWM,March2010,Vol.30,No.323,24,25,,26470,,,NO,NO,27,28,,,29:,,,,,,30,,35min,5726,30Hz,3V,30min,2,,,31,,5,,,,,,,,,,,[1].[J].,2007,24(4)29-311HeYM.Reviewonmeaningofbirthandlearningofmod2ernChinesemedicinenutrition[J].CulinSciJYangzhouUniv,2007,24(4)29-31.[2].[J].,2003,11(3)171-1721LiJS.Enteralnutritionthepreferencemeansofclini2calnutritionalsupportinsurgery[J].ChinJClinNutr,2003,11(3):171-172.[3],,.[J].,2005,25(5):305-3061JiangZW,LiN,LiJS.Enteralimmunenutritionalsupportinpreoperativepatientswithgastrointestinalcancer[J].ChinJPractSurg,2005,25(5):305-3061[4],,,.T[J].,2008,6(1):37-401CaiJ,WangH,ZhouS,etal.EffectofSijunziDecoctionandenteralnutritiononT2cellsubsetsandnutritionalstatusinpatientswithgastriccancerafteroperation:arandomizedcontrolledtrial[J].JChinIntegrMed,2008,6(1):37-401[5],,.[J].,2007,41(9):78-801FengY,HuangJP,ZhuMP.Effectofearlyenteralnutri2tionplusSijunziDecoctiononintestinalmucosalbarrierfunctionaftersubtotalgastrectomy[J].ShanghaiJTraditChinMed,2007,41(9):78-80.[6],,.[J].,2007,30(1):28-291XinW,HouXJ,HouJM.NutritionalsupportroleofYi2weiHuoxueDecoctioninthepostoperativepatientswithup2perdigestivetractcancer[J].JShaanxiCollTraditChinMed,2007,30(1):28-29.[7],,,.[J].,2005,3(3):195-1981CaiJ,XuanZR,WeiYP,etal.Effectsofperioperativeadministrationofrhubarbonacuteinflammatoryresponsein34220103303CJITWM,March2010,Vol.30,No.3patientswithgastriccancer[J].JChinIntegrMed,2005,3(3):195-1981[8].[J].,2000,8(8):571ZhuJS.Progressinmedicaltreatmentofgastriccancer[J].WorldChinJDigestol,2000,8(Specialissue8):57.[9].[J].,2003,31(10):40-411WuWB.CombiningChineseandWesternmedicineindi2agnosingandtreatingearlypostoperativepatientswithin2flammatorybowelobstruction[J].ChinJClin,2003,31(10):40-411[10],,.[J].,2006,13(8):1258-12591LiaoL,ChenH,YuYL,etal.CombinedtraditionalChi2neseandWesternmedicinetreatmentofearlypostoperationinflammatorysmallbowelobstruction[J].ChinJPrimaryMedPharm,2006,13(8):1258-12591[11],,,.22[J].,2002,9(3):160-1611CaiY,HuangQQ,SuMX,etal.Influenceofenteralnu2tritionaddastragalusonseruminterleukin22oftraumaticrats[J].ChinJIntegrTraditChinWestMedIntersiveCritCare,2002,9(3):160-1611[12],,,.[J].,2002,9(3):151-1571SunSB,XuW,SunTW,etal.EffectsofTPNandim2muneregulatorRadixAstragalionpostoperativepatientsofobstructivejaundice[J].ParenterEnteralNutr,2002,9(3):151-1571[13],,,.[J].,2006,13(15):1183-11851WangP,ZhangG,ZhangRQ,etal.InfluenceofearlypostoperativeenteralnutritionassistedwithtraditionalChi2nesemedicineonimmuneandnutritionalstatusinpatientswithesophagealcancer[J].ChinJCancerPrevTreat,2006,13(15):1183-11851[14].[J].,2002,9(1):1-31WuYT.Currentstatusofnutritionalsupportingeneralsur2gery[J].ChinJBasicClinGeneralSurg,2002,9(1):1-31[15],,,.[J].,2002,18(5):301-3041ChenJ,XiaPY,ChangS,etal.Effectofserumfromburnedanimalsonbarrierfunctionofintestinalepithelialcells[J].ChinJTraumatol,2002,18(5):301-3041[16],,.[J].,2003,9(5):410-4121WangT,ZhaoX,WangYH.TheprotectiveeffectofearlyenteralinterventionoftraditionalChinesemedicineonin2testinalmucosalbarrier[J].JIntegrTraditChinWestMedSurg,2003,9(5):410-4121[17],,,.[J].,2000,16(12):738-7401ChenDC,JingBW,QiaoL,etal.Protectiveeffectsofrhubarbonrespirationofintestinalepitheliainburnedrats[J].ChinJTraumatol,2000,16(12):738-7401[18],,.[J].,1998,7(3):131-1321YangJD,JingBW,ChengDC.Theeffectsofrhubarbongutbarrier[J].JEmergTraditChinMed,1998,7(3):131-132.[19],,.[J].,2006,15(12):1367-13681ZhouSF,GuoYJ,TangSQ.TheroleofWeiqitheoryincriticallyillpatientswithenteralnutritionsupport[J].JEmergTraditChinMed,2006,15(12):1367-13681[20].[J].,2004,10(4):268-2691WangYL.TraditionalChinesemedicinewithenteralnutri