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患有饮食失调症的青少年住院患者:再喂养方案下急性和慢性营养不良状态的比较。

Adolescent Inpatients With Eating Disorders: Comparison Between Acute and Chronic Malnutrition States on a Refeeding Protocol.

作者信息

Chang Yung-Chieh, Thew Margaret, Hettich Kyndal, Nugent Melodee, Simpson Pippa, Jay M Susan

机构信息

Hualien Tzu Chi Hospital, Hualien.

Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Glob Pediatr Health. 2019 Apr 8;6:2333794X19839780. doi: 10.1177/2333794X19839780. eCollection 2019.

DOI:10.1177/2333794X19839780
PMID:31008152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6457078/
Abstract

This study is a comparison of eating disorder patient outcomes on similar nutrition regimens regardless of degree of malnutrition. Acuity of symptoms in chronically and acutely malnourished patients were analyzed to determine the influence the duration of malnutrition has on refeeding syndrome. Patient outcomes did not differ based on chronicity of malnutrition and are compatible with previous studies in terms of weight gain, medical stabilization, and rate of electrolyte imbalance.

摘要

本研究比较了无论营养不良程度如何,采用相似营养方案的饮食失调患者的治疗结果。分析了慢性和急性营养不良患者的症状严重程度,以确定营养不良持续时间对再喂养综合征的影响。患者的治疗结果不因营养不良的慢性程度而异,在体重增加、病情稳定以及电解质失衡发生率方面与先前的研究结果相符。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e7/6457078/863c0a11d32e/10.1177_2333794X19839780-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e7/6457078/863c0a11d32e/10.1177_2333794X19839780-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04e7/6457078/863c0a11d32e/10.1177_2333794X19839780-fig1.jpg

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本文引用的文献

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Cardiovascular complications of anorexia nervosa: A systematic review.神经性厌食症的心血管并发症:一项系统综述。
Int J Eat Disord. 2016 Mar;49(3):238-48. doi: 10.1002/eat.22481. Epub 2015 Dec 29.
2
Position Paper of the Society for Adolescent Health and Medicine: medical management of restrictive eating disorders in adolescents and young adults.青少年健康与医学协会立场文件:青少年及青年成人限制性饮食失调的医学管理
J Adolesc Health. 2015 Jan;56(1):121-5. doi: 10.1016/j.jadohealth.2014.10.259.
3
Refeeding hypophosphatemia in hospitalized adolescents with anorexia nervosa: a position statement of the Society for Adolescent Health and Medicine.
一种用于评估住院儿童营养不良风险的具有非侵入性指标的新型筛查工具的开发与验证
Children (Basel). 2022 May 17;9(5):731. doi: 10.3390/children9050731.
住院神经性厌食青少年再喂养低磷血症:青少年健康与医学协会的立场声明
J Adolesc Health. 2014 Sep;55(3):455-7. doi: 10.1016/j.jadohealth.2014.06.010.
4
Higher caloric intake in hospitalized adolescents with anorexia nervosa is associated with reduced length of stay and no increased rate of refeeding syndrome.住院的神经性厌食症青少年摄入较高热量与住院时间缩短有关,且不会增加再喂养综合征的发生率。
J Adolesc Health. 2013 Nov;53(5):573-8. doi: 10.1016/j.jadohealth.2013.05.014. Epub 2013 Jul 3.
5
Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions.定义儿科营养不良:向病因相关定义转变的范例。
JPEN J Parenter Enteral Nutr. 2013 Jul;37(4):460-81. doi: 10.1177/0148607113479972. Epub 2013 Mar 25.
6
A prospective examination of weight gain in hospitalized adolescents with anorexia nervosa on a recommended refeeding protocol.一项针对按照推荐的喂养方案住院的神经性厌食症青少年体重增加的前瞻性研究。
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Cardiovascular complications of eating disorders.饮食失调的心血管并发症。
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