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The mid-term analysis of the study showed no significant difference between the two groups.
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| Name | Class |
|---|---|
| Huashan Hospital | OTHER |
| Yangpu District Central Hospital Affiliated to Tongji University | OTHER |
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Postoperative insulin resistance refers to the phenomenon that the body's glucose uptake stimulated by insulin is reduced due to stress effects such as trauma or the inhibitory effect of insulin on liver glucose output is weakened after surgery.
There is a clear link between postoperative insulin resistance and poor perioperative prognosis. Therefore, exploring interventions to reduce postoperative stress insulin resistance, stabilize postoperative blood glucose, and reduce postoperative complications are clinical problems that need to be solved urgently. In recent years, research on branched-chain amino acids and metabolic diseases has become a hot spot. Studies have found that in the rat model, preoperatively given a high branched-chain amino acid diet can inhibit postoperative insulin resistance and stabilize blood glucose levels. This research plan is to try to add branched-chain amino acids before surgery to observe the occurrence of postoperative insulin resistance in patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| research group | Experimental | 600ml drink which contains 18g BCAA was consumed by patients 2-4h before surgery. |
|
| control group | Placebo Comparator | 600ml water was consumed by patients 2-4h before suegery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCAA | Dietary Supplement | 600ml drink which contains 18g BCAA was consumed by patients 2-4h before surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of postoperative blood glucose>8mmol/L | The proportion of postoperative blood glucose>8mmol/L.Measure method:Continuous blood glucose meter. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative blood glucose | Measured by continuous blood glucose meter | 1 day |
| Homeostasis model assessment - insulin resistance (HOMA-IR) | Measured by blood test. HOMA-IR = (blood glucose [mmol/L] × blood insulin [μunits/mL])/22.5. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Tongren Hospital | Shanghai | China |
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| ID | Term |
|---|---|
| D007333 | Insulin Resistance |
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D014867 | Water |
| ID | Term |
|---|---|
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D000838 | Anions |
| D007477 |
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| water | Dietary Supplement | 600ml water was consumed by patients 2-4h before suegery. |
|
| 1 day |
| Postoperative complications | Postoperative complications include branched-chain amino acid-related complications, surgery-related complications, and systemic complications. Postoperative complications were graded according to the Clavien-Dindo system | 1 month |
| Postoperative hospital stay | Postoperative hospital stay | 1 month |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| Ions |
| D004573 | Electrolytes |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |