危重症老年患者的蛋白质需求。
Protein Requirements in Critically Ill Older Adults.
机构信息
Division of Rehabilitation Sciences, The University of Texas Medical Branch, Galveston, TX 77555, USA.
Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX 77555, USA.
出版信息
Nutrients. 2018 Mar 20;10(3):378. doi: 10.3390/nu10030378.
Abstract
Critically ill elderly patients' nutritional needs are not well understood and vary with the phase of illness and recovery. Patients' nutritional needs should be assessed early in hospitalization and re-assessed throughout the stay with additional attention during the transitions from critical illness, to severe illness, to post-hospital rehabilitation. In this review, we summarize recent findings and highlight recommendations for protein supplementation in critically ill geriatric patients throughout the stages of recovery. Future research specifically focusing on protein dose, its relationship with caloric needs, and delivery modality must be conducted to provide more specific guidelines for clinical practice.
摘要
危重症老年患者的营养需求尚未得到充分认识，并且会随疾病和康复阶段的不同而变化。患者的营养需求应在住院早期进行评估，并在整个住院期间进行重新评估，在从危重症、重症到医院后康复的过渡期间需要特别关注。在这篇综述中，我们总结了最近的发现，并强调了在康复各个阶段为危重症老年患者补充蛋白质的建议。必须进行专门针对蛋白质剂量、与热量需求的关系及其输送方式的未来研究，以便为临床实践提供更具体的指南。
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本文引用的文献
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Nutrients. 2017 Dec 23;10(1):10. doi: 10.3390/nu10010010.
2
A Randomized Controlled Pilot Trial of Interventions to Improve Functional Recovery After Hospitalization in Older Adults: Feasibility and Adherence.一项旨在改善老年患者住院后功能恢复的干预措施的随机对照初步试验：可行性和依从性。
J Gerontol A Biol Sci Med Sci. 2018 Jan 16;73(2):187-193. doi: 10.1093/gerona/glx111.
3
The intensive care medicine research agenda in nutrition and metabolism.重症监护医学中营养与代谢的研究议程。
Intensive Care Med. 2017 Sep;43(9):1239-1256. doi: 10.1007/s00134-017-4711-6. Epub 2017 Apr 3.
4
Parenteral or enteral nutrition: do you have the choice?肠外或肠内营养：你有选择吗？
Curr Opin Crit Care. 2016 Aug;22(4):292-8. doi: 10.1097/MCC.0000000000000313.
5
Identifying effective and feasible interventions to accelerate functional recovery from hospitalization in older adults: A randomized controlled pilot trial.确定有效且可行的干预措施以加速老年人住院后的功能恢复：一项随机对照试验。
Contemp Clin Trials. 2016 Jul;49:6-14. doi: 10.1016/j.cct.2016.05.001. Epub 2016 May 10.
6
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