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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
79
Shanghai Tongren Hospital
Shanghai, China
The proportion of postoperative blood glucose>8mmol/L
The proportion of postoperative blood glucose\>8mmol/L.Measure method:Continuous blood glucose meter.
Time frame: 1 day
Postoperative blood glucose
Measured by continuous blood glucose meter
Time frame: 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.
Time frame: 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
Time frame: 1 month
Postoperative hospital stay
Postoperative hospital stay
Time frame: 1 month
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