Hickey M S
University of California, San Francisco.
Surg Clin North Am. 1991 Jun;71(3):645-64. doi: 10.1016/s0039-6109(16)45439-3.
Investigators are now predicting that nearly 100% of the estimated 12 million HIV-positive persons in the world will develop AIDS. Most persons with AIDS will experience progressive weight loss and malnutrition prior to death. Because nutritional therapy clearly has a beneficial effect on the clinical course and immunologic status of the critically ill general population, one must not disregard its potential for benefits in the treatment of persons with AIDS. As a result of the escalating cost of medical therapy and the inevitable AIDS epidemic, the nutritional management of persons with AIDS must be simple to administer and cost effective. The author has developed nutritional screening criteria to identify those patients who would most benefit from nutritional therapy. Because these patients differ in their nutritional requirements, diet tolerance, and degree of gut dysfunction, there is no single nutritional therapy that can be used routinely to treat all malnourished persons with AIDS.
研究人员目前预测，全球估计1200万艾滋病毒呈阳性者中，近100%将会发展为艾滋病患者。大多数艾滋病患者在死亡前会经历体重逐渐减轻和营养不良的情况。鉴于营养疗法显然对危重症普通人群的临床病程和免疫状态具有有益影响，人们不应忽视其在治疗艾滋病患者方面的潜在益处。由于药物治疗费用不断攀升以及艾滋病疫情不可避免，艾滋病患者的营养管理必须易于实施且具有成本效益。作者制定了营养筛查标准，以确定那些将从营养疗法中获益最大的患者。由于这些患者在营养需求、饮食耐受性和肠道功能障碍程度方面存在差异，没有单一的营养疗法可常规用于治疗所有营养不良的艾滋病患者。
