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肠内管饲作为营养不良囊性纤维化患者的辅助治疗:一项临床研究与文献综述

Enteral-tube feeding as adjunct therapy in malnourished patients with cystic fibrosis: a clinical study and literature review.

作者信息

Moore M C, Greene H L, Donald W D, Dunn G D

出版信息

Am J Clin Nutr. 1986 Jul;44(1):33-41. doi: 10.1093/ajcn/44.1.33.

DOI:10.1093/ajcn/44.1.33
PMID:3088970
Abstract

Eight children (aged 8 mo to 13 yr) with cystic fibrosis (CF) and growth failure were given home nocturnal nasogastric feeding of an elemental diet for 3 mo and re-evaluated 3 mo after cessation of tube feeding. An increase in energy intake (p less than 0.05) resulted in increased serum transferrin (p less than 0.005), retinol-binding protein (p less than 0.05), and clinical scores (p less than 0.05) during the study. Height and growth velocity increased by 60% (p less than 0.05), and weight growth velocity increased by 63%. Arm-muscle circumference, triceps skinfolds, serum albumin, vitamin A, vitamin E, zinc, and copper did not change significantly during tube feeding. Nocturnal feeding were safe and effective in promoting growth; however, most children with severe lung disease did not sustain the gains after cessation of tube feeding. Our findings indicate that continued nutritional support is needed to maintain the growth in malnourished children with severe lung disease.

摘要

八名患有囊性纤维化(CF)且生长发育迟缓的儿童(年龄在8个月至13岁之间)接受了为期3个月的夜间家庭鼻饲要素饮食,并在停止管饲后3个月进行了重新评估。在研究期间,能量摄入增加(p<0.05)导致血清转铁蛋白(p<0.005)、视黄醇结合蛋白(p<0.05)和临床评分(p<0.05)升高。身高和生长速度增加了60%(p<0.05),体重增长速度增加了63%。在管饲期间,上臂肌肉周长、三头肌皮褶厚度、血清白蛋白、维生素A、维生素E、锌和铜没有显著变化。夜间喂养在促进生长方面是安全有效的;然而,大多数患有严重肺部疾病的儿童在停止管饲后无法维持生长发育的改善。我们的研究结果表明,需要持续的营养支持来维持患有严重肺部疾病的营养不良儿童的生长发育。

相似文献

1
Enteral-tube feeding as adjunct therapy in malnourished patients with cystic fibrosis: a clinical study and literature review.肠内管饲作为营养不良囊性纤维化患者的辅助治疗:一项临床研究与文献综述
Am J Clin Nutr. 1986 Jul;44(1):33-41. doi: 10.1093/ajcn/44.1.33.
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Nutritional rehabilitation of malnourished patients with cystic fibrosis.囊性纤维化营养不良患者的营养康复
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Nutritional rehabilitation in cystic fibrosis: controlled studies of effects on nutritional growth retardation, body protein turnover, and course of pulmonary disease.
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Effects of long-term nutritional rehabilitation on body composition and clinical status in malnourished children and adolescents with cystic fibrosis.长期营养康复对患有囊性纤维化的营养不良儿童和青少年身体成分及临床状况的影响。
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Chronic undernutrition/growth retardation in cystic fibrosis.囊性纤维化中的慢性营养不良/生长发育迟缓。
Clin Gastroenterol. 1986 Jan;15(1):137-55.
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Chronic jejunostomy feeding with a non-elemental formula in undernourished patients with cystic fibrosis.对营养不良的囊性纤维化患者采用非要素配方进行长期空肠造口喂养。
Lancet. 1986 Feb 1;1(8475):232-4. doi: 10.1016/s0140-6736(86)90772-5.
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Short-term clinical, nutritional, and functional effects of continuous elemental enteral alimentation in children with cystic fibrosis.持续性要素肠内营养对囊性纤维化患儿的短期临床、营养及功能影响
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Nasogastric tube feeding at home: a method for adjunctive nutritional support of malnourished patients.家庭鼻饲管喂养:一种对营养不良患者进行辅助营养支持的方法。
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Supplemental nasogastric feeding in cystic fibrosis patients during treatment for acute exacerbation of chest disease.囊性纤维化患者在胸部疾病急性加重期治疗期间的补充鼻饲喂养
Aust Paediatr J. 1989 Jun;25(3):164-7. doi: 10.1111/j.1440-1754.1989.tb01443.x.

引用本文的文献

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Brazilian Guidelines for Nutrition in Cystic Fibrosis.巴西囊性纤维化营养指南。
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2
Enteral tube feeding for cystic fibrosis.囊性纤维化的肠内管饲法
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Hypoalbuminemia and early mortality after lung transplantation: a cohort study.低白蛋白血症与肺移植后早期死亡:一项队列研究。
Am J Transplant. 2012 May;12(5):1256-67. doi: 10.1111/j.1600-6143.2011.03965.x. Epub 2012 Feb 15.
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Exacerbations in cystic fibrosis: 2 . prevention.囊性纤维化的病情加重:2. 预防
Thorax. 2007 Aug;62(8):723-32. doi: 10.1136/thx.2006.060897.
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Home enteral tube feeding: a growing problem?
Ir J Med Sci. 1999 Oct-Dec;168(4):246-7. doi: 10.1007/BF02944349.
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Percutaneous endoscopic gastrostomy feeding in patients with cystic fibrosis.囊性纤维化患者的经皮内镜下胃造口术喂养
Gut. 1999 Jan;44(1):87-90. doi: 10.1136/gut.44.1.87.