da Cunha D F, Vannucchi H
Disc. de Nutrol. da Fac. de Med. de Ribeirão Preto da Univ. de São Paulo.
AMB Rev Assoc Med Bras. 1991 Oct-Dec;37(4):163-8.
The malnourished alcoholic patient requires frequently hospitalization for treatment and an adequate nutritional support is necessary for recovery of their health. The objective of the present study was to evaluate the nutritional value of an enteral diet based on "soya milk", corn sugar, coconut oil and water. Seven alcoholics, males, with 36.4 year mean age, without any clinical evidence of hepatic cirrhosis and/or pancreatitis, were submitted to three periods of metabolic nitrogen balance (NB), with multiple levels of protein intake (0.4, 0.6 and 0.8 grams of proteins/kg of body weight/day). The nitrogen intake (NI), the fecal nitrogen (FN) and the urinary nitrogen (UN) were determined, and the NB and protein digestibility value were calculated. The net protein utilization (NPU) was calculated by correlation studies between the NI and NB, with a value of 101.3%. The mean true digestibility was 100.1% and the mean requirement for that population was 0.5g protein/kg of body weight/day. Using a 97.5% confidence limit, the protein requirement of the enteral diet was calculated to be 0.8g protein/kg of body weight/day. The enteral diet based on "soya milk" can be profitable for this group of patients. It is a good alternative for use in enteral nutrition, easily available, well tolerable, and of high biological value.
营养不良的酗酒患者需要经常住院治疗，充足的营养支持对其恢复健康至关重要。本研究的目的是评估以“豆浆”、玉米糖、椰子油和水为基础的肠内饮食的营养价值。七名男性酗酒者，平均年龄36.4岁，无任何肝硬化和/或胰腺炎的临床证据，接受了三个阶段的代谢氮平衡（NB）研究，蛋白质摄入量有多个水平（0.4、0.6和0.8克蛋白质/千克体重/天）。测定了氮摄入量（NI）、粪氮（FN）和尿氮（UN），并计算了NB和蛋白质消化率值。通过NI与NB之间的相关性研究计算出净蛋白质利用率（NPU），值为101.3%。平均真消化率为100.1%，该人群的平均需求量为0.5克蛋白质/千克体重/天。使用97.5%的置信限，计算出肠内饮食的蛋白质需求量为0.8克蛋白质/千克体重/天。以“豆浆”为基础的肠内饮食对这类患者可能有益。它是肠内营养的一个很好的选择，容易获得，耐受性好，且生物价值高。
