申请人:AB ERIK VINNARS
公开号:EP0318446A1
公开(公告)日:1989-05-31
The invention relates to a composition for therapeutic, especially postoperative and posttraumatic, parenteral nutritional support treatment, which composition is based on a conventional amino acid mixture, the composition being characterised in that it also includes L- glutamine and/or alpha-ketoglutarate and optionally L- asparagine, the components of the composition, expressed in g dry component/l aqueous solution, being: glycine (1-12), aspartate (1-10), glutamate (2-12), alanine (2-20), arginine (2-14), cysteine/cystine (0.4-2.0), histidine (2-8), isoleucine (2-8), leucine (2-8), lysine (2-12), methionine (1-6), phenylalanine (4-10), proline (4-10), serine (2-10), threonine (2-8), tryptophan (1-3), tyrosine (0.2-1), valine (2-8), and additionally 5-30 g/l L-glutamine and/or 5-25 g/l alpha-ketoglutarate, and optionally 0.5-10 g/l L-asparagine and/or acetoacetate, or salts or esters thereof.
The invention also relates to the use of L-glutamine and/or its derivative alpha-ketoglutarate, and optionally L-asparagine and/or its derivative acetoacetate for the preparation of a composition intended for therapeutic, especially postoperative and posttraumic, parenteral nutritional support treatment, which use is characterised in that L-glutamine and/or alpha-ketoglutarate and optionally L-asparagine and/or acetoacetate, dissolved in water and sterile-filtered, are added in cold-stored and freeze-dried form or other sterile powder form to a commercial amino acid nutrient solution immediately before the therapeutic treatment.
本发明涉及一种用于治疗,特别是术后和创伤后肠道外营养支持治疗的组合物,该组合物以常规
氨基酸混合物为基础,其特征在于还包括L-谷
氨酰胺和/或α-酮
戊二酸,以及可选的L-天冬酰胺,该组合物的组分以克干组分/升
水溶液表示,分别为甘
氨酸(1-12)、
天冬氨酸(1-10)、谷
氨酸(2-12)、丙
氨酸(2-20)、精
氨酸 (2-14)、半胱
氨酸/胱
氨酸(0.4-2.0)、组
氨酸(2-8)、
异亮氨酸(2-8)、亮
氨酸(2-8)、赖
氨酸(2-12)、蛋
氨酸(1-6)、苯丙
氨酸(4-10)、脯
氨酸(4-10)、
丝氨酸(2-10)、苏
氨酸(2-8)、色
氨酸(1-3)、
酪氨酸(0.2-1)、缬
氨酸(2-8),另外还有 5-30 克/升 L-谷
氨酰胺和/或 5-25 克/升 α-酮
戊二酸,以及可选的 0.5-10 克/升 L-天冬酰胺和/或
乙酰乙酸,或其盐或酯。
本发明还涉及使用 L-谷
氨酰胺和/或其衍
生物α-酮
戊二酸,以及可选的 L-天冬酰胺和/或其衍
生物乙酰乙酸来制备用于治疗,特别是术后和创伤后肠道外营养支持治疗的组合物、该用途的特点是,L-谷
氨酰胺和/或α-酮
戊二酸和可选的 L-天冬酰胺和/或
乙酰乙酸溶于
水并经过无菌过滤,在治疗前立即以冷藏和冻干形式或其他无菌粉末形式添加到商用
氨基酸营养液中。