Dionyssiotis Yannis
Medical Department, Rehabilitation Center Amyntaio, General Hospital of Florina, 2nd km National Road Amyntaio-Thessaloniki, 53200, Amyntaio, Florina, Greece. Email:
J Clin Med Res. 2012 Aug;4(4):227-36. doi: 10.4021/jocmr924w. Epub 2012 Jul 20.
Denervation of the spinal cord below the level of injury leads to complications producing malnutrition. Nutritional status affects mortality and pathology of injured subjects and it has been reported that two thirds of individuals enrolled in rehabilitation units are malnourished. Therefore, the aim should be either to maintain an optimal nutritional status, or supplement these subjects in order to overcome deficiencies in nutrients or prevent obesity. This paper reviews methods of nutritional assessment and describes the physiopathological mechanisms of malnutrition based on the assumption that spinal cord injured subjects need to receive adequate nutrition to promote optimal recovery, placing nutrition as a first line treatment and not an afterthought in the rehabilitation of spinal cord injury.
损伤平面以下脊髓去神经支配会导致引发营养不良的并发症。营养状况会影响受伤个体的死亡率和病理情况，据报道，在康复机构登记的个体中有三分之二存在营养不良。因此，目标应该是维持最佳营养状况，或者对这些个体进行补充营养，以克服营养缺乏或预防肥胖。本文回顾了营养评估方法，并基于脊髓损伤个体需要获得充足营养以促进最佳恢复这一假设，描述了营养不良的生理病理机制，将营养作为脊髓损伤康复的一线治疗手段，而非事后考虑的因素。
