{"id":34285,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-del-tipo-de-lipidos-de-la-nutricion-parenteral-total-mct-vs-lct-en-la-morbilidad-y-mortalidad-postoperatoria\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"efecto-del-tipo-de-lipidos-de-la-nutricion-parenteral-total-mct-vs-lct-en-la-morbilidad-y-mortalidad-postoperatoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-del-tipo-de-lipidos-de-la-nutricion-parenteral-total-mct-vs-lct-en-la-morbilidad-y-mortalidad-postoperatoria\/","title":{"rendered":"Efecto del tipo de lipidos de la nutricion parenteral total (mct vs lct) en la morbilidad y mortalidad postoperatoria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sagrario Fuerte Ruiz <\/strong><\/h2>\n<p>La composici\u00f3n de los l\u00edpidos de la nutrici\u00f3n parenteral total (npt) puede modificar la capacidad de respuesta del sistema inmunitario a la agresi\u00f3n quir\u00fargica.  los objetivos del presente estudio han sido evaluar el efecto del tipo de l\u00edpidos de la npt (mct vs lct) en el riesgo de la infecci\u00f3n postquir\u00fargica y en la mortalidad postoperatoria de los pacientes con patolog\u00eda del tracto digestivo, y analizar las diferencias en cuanto a complicaciones s\u00e9pticas y mortalidad en los pacientes quir\u00fargicos con patolog\u00eda maligna vs pacientes quir\u00fargicos con patolog\u00eda benigna.  se realiz\u00f3 un ensayo cl\u00ednico aleatorio y triple ciego.  los criterios de selecci\u00f3n incluian pacientes tratados con resecci\u00f3n quir\u00fargica electiva o urgente por patolog\u00eda benigna o maligna del tracto digestivo que precisaban soporte con npt durante mas de siete dias. Fueron randomizados en dos grupos segun el tipo de emulsi\u00f3n lip\u00eddica de la npt: lct (grupo lct) vs mezcla de mct\/lct al 50% (grupo mct). Las necesidades cal\u00f3ricas se calcularon seg\u00fan la f\u00f3rmula de harris-benedict corregida por el factor de estr\u00e9s. La composici\u00f3n de la npt oscil\u00f3 entre 15-20 gr. De nitr\u00f3geno y 300-400 gr de glucosa siendo en todos los casos constante el aporte de l\u00edpidos (100 gr). Se registr\u00f3 la mortalidad y morbilidad infecciosa observada en los 30 dias siguientes a la cirugia. El an\u00e1lisis estad\u00edstico se realiz\u00f3 con el programa spss.  en un periodo de 24 meses, se incluyeron 57 pacientes, 26 en el grupo mct y 31 en el grupo lct. Los grupos eran homog\u00e9neos en edad, \u00edndice apache ii, cirugia urgente, diagnostico de sepsis al ingreso y dias con npt. En el grupo lct habia mas pacientes con cancer que en el grupo mct. La incidencia de neumonia, infecci\u00f3n de la herida quir\u00fargica, bacteriemia y sepsis por cateter fu\u00e9 similar en ambos grupos. En el grupo mct fu\u00e9 mas baja la incidencia de absceso intraabdominal, alcanzando diferencias significativas. Cuando<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto del tipo de lipidos de la nutricion parenteral total (mct vs lct) en la morbilidad y mortalidad postoperatoria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto del tipo de lipidos de la nutricion parenteral total (mct vs lct) en la morbilidad y mortalidad postoperatoria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sagrario Fuerte Ruiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Carlos Ruiz De Adana Belbel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  Cantero <\/li>\n<li>Manuel Armengol Carrasco (vocal)<\/li>\n<li>Jos\u00e9 Antonio Rodr\u00edguez Montes (vocal)<\/li>\n<li>Teo Grau Carmona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sagrario Fuerte Ruiz La composici\u00f3n de los l\u00edpidos de la nutrici\u00f3n parenteral total (npt) puede modificar la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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