Smith A E, Powers C A, Cooper-Meyer R A, Lloyd-Still J D
JPEN J Parenter Enteral Nutr. 1986 Sep-Oct;10(5):479-81. doi: 10.1177/0148607186010005479.
Sixteen patients were managed by one of two specific refeeding protocols to compare the efficacy of two enteral formulas in the nutrition restoration of infants with intractable diarrhea (IDI). The protocols outlined specific nutritional therapy including transition from parenteral to enteral nutrition; concentration, volume, and steps of advancement of formulas. Patient progress was monitored daily. Average length of stay, number of days on parenteral nutrition support, and number of formula changes for the IDI protocol groups were compared with a retrospective chart audit group of 29 IDI patients. The protocol groups had substantially fewer days of parenteral nutrition support, significantly fewer formula changes (p less than 0.01), and fewer days of hospitalization. The differences resulted in $14,750 of charges saved per protocol patient.
16名患者采用两种特定的再喂养方案之一进行治疗，以比较两种肠内配方奶对顽固性腹泻（IDI）婴儿营养恢复的疗效。方案概述了具体的营养治疗方法，包括从肠外营养过渡到肠内营养；配方奶的浓度、体积和推进步骤。每天监测患者的进展情况。将IDI方案组的平均住院时间、肠外营养支持天数和配方奶更换次数与29名IDI患者的回顾性图表审核组进行比较。方案组的肠外营养支持天数显著减少，配方奶更换次数明显减少（p<0.01），住院天数也减少。这些差异使每个方案患者节省了14,750美元的费用。
