Abstract:Objective: To evaluate the effects of parenteral infusion of fructose or glucose on metabolic changes in post-operative patients. Methods:A polycentric, double blind and randomized clinical trial was conducted in 124 post-operative patients. The patients were divided in two groups, and fructose solution(10%,750 ml) or glucose solution(10%,750 ml) were infused intravenously affer operation. Serum glucose and insulin level were monitored to evaluate the metabolic responses to different parenteral protocols. Results:Infusion of glucose increased in insulin activity, however fructose infusion had no such effects. Conclusion:Parenteral fructose, has a significantly less adverse impact than glucose on the glucose balance in the post-operative state. The benefits of fructose-specific metabolic effects suggest that fructose is an important nutrient that contributes to metabolic stabilization, especially in the post-operation phase and in trauma patients.