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标题：Effectiveness of Carbohydrates Mixtures as the Energy Source for Total Parental Nutrition
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作者：Harumasa OHYANAGI ; Motoki IHARA ; Shinichi NISHIMATSU 等
期刊名称：Journal of Clinical Biochemistry and Nutrition
印刷版ISSN：0912-0009
电子版ISSN：1880-5086
出版年度：1988
卷号：5
期号：1
页码：29-42
DOI：10.3164/jcbn.5.29
出版社：The Society for Free Radical Research Japan
摘要：This study was designed to evaluate the metabolic and hormonal effects of various combinations of carbohydrate loads containing glucose, fructose, and xylitol in a rabbit model utilizing laparotomy of depressed glucose metabolism. The animals were divided into eight groups according to carbohydrate ratios of the total parenteral nutrition (TPN) solution. TPN with a nonprotein calorie ratio of 150 was administered for three days at an isocaloric dose of 112kcal/kg/day. The plasma glucose level and urinary excretion rates were the lowest in the group receiving a 8:4:2 combination of glucose, fructose, and xylitol (GFX842). The daily nitrogen balance for this group was significantly higher than that of groups with other carbohydrate combinations. Solutions of ¹⁴C-labeled glucose, fructose, and xylitol in various ratios were also administered to evaluate the usefulness of the GFX842 mixture from the aspect of efficient energy utilization. Of the various combinations GFX842 was found to be the most effective in utilization of carbohydrates, as judged from the expired ¹⁴CO₂ excretion rate, plasma level of [¹⁴C]glucose, [¹⁴C]fructose, and [¹⁴C]xylitol, and the endogenous glucose level. These data imply that the ratio of the carbohydrates in the GFX842 mixture is the most important factor with regard to the control of plasma glucose and the utilization of carbohydrates in the state of impaired glucose tolerance.
关键词：carbohydrates;glucose;fructose;xylitol;total parenteral nutrition