强化营养支持可改善重度营养不良脑瘫患儿的营养状况和身体组成。
Intensive nutritional support improves the nutritional status and body composition in severely malnourished children with cerebral palsy.
作者信息
García-Contreras Andrea A, Vásquez-Garibay Edgar M, Romero-Velarde Enrique, Ibarra-Gutiérrez Ana Isabel, Troyo-Sanromán Rogelio, Sandoval-Montes Imelda E
机构信息
Instituto de Nutrición Humana. Universidad de Guadalajara..
Instituto de Nutrición Humana. Universidad de Guadalajara. Hospital Civil de Guadalajara Dr. Juan I. Menchaca. México..
出版信息
Nutr Hosp. 2014 Apr 1;29(4):838-43. doi: 10.3305/nh.2014.29.4.7247.
OBJECTIVE
To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia.
METHODS
Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used.
RESULTS
During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01). The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%).
CONCLUSION
Intensive nutritional support for four weeks had a significant effect on the nutritional status and body composition of severe and moderately malnourished children with cerebral palsy spastic quadriplegia.
目的
证明通过鼻饲管喂养或胃造口术进行的营养支持干预，对重度营养不良的痉挛性四肢瘫脑瘫患儿的营养状况和身体成分有显著影响。
方法
一项队列研究纳入了13例通过鼻饲管喂养或胃造口术进行喂养的中度/重度营养不良且患有痉挛性四肢瘫脑瘫的患者。进行了人体测量以及通过生物电阻抗分析估计身体成分。使用了方差分析和威尔科克森检验。
结果
在四周的营养恢复期间，平均体重增加了2700克。人体测量指标显著增加，包括体重指数（BMI）和体重/身长（p < 0.01）。上臂脂肪面积的增加显著高于上臂肌肉面积的增加（104.5%对17.5%）。
结论
为期四周的强化营养支持对重度和中度营养不良的痉挛性四肢瘫脑瘫患儿的营养状况和身体成分有显著影响
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