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基于当地食物的肠内营养对改善中风后患者营养状况的影响。

The Effects of Local Food-Based Enteral Nutrition to Improve Nutritional Status of Post-Stroke Patients.

作者信息

Setyopranoto Ismail, Lestari Lily Arsanti, Wijayanti Punik Mumpuni, Rochmah Mawaddah Ar

机构信息

Department of Neurology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.

Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

J Neurosci Rural Pract. 2021 Jan;12(1):204-209. doi: 10.1055/s-0040-1721202. Epub 2021 Jan 29.

Abstract

We used local-based enteral formula for post-stroke patients to see its effects on the nutritional status.  This is an experimental research with a pre- and post-test study design in post-stroke patients. Participants underwent clinical and laboratory examinations to assess their nutritional status before and after the enteral nutrition supplementation. The enteral formula preparation, containing arrowroot powder, cork fish, tempeh (fermented soybeans), nondairy creamer, and pumpkin, was performed in a nationally standardized Food Processing Technology Laboratory in Yogyakarta, Indonesia. The enteral formula was given twice a day for 3 consecutive weeks in addition to the patients' daily meal.  Nutritional indices before and after enteral nutrition supplementation were analyzed using . All statistical analyses were at 5% significance level.  Of the 22 post-stroke patients, we used the cutoff point of National Institutes of Health Stroke Scale ≥3 and Barthel Index <90 to represent dependency. Our findings showed significantly reduced mid-upper arm circumference and increased body mass index in independent post-stroke patients after the enteral nutrition supplementation. The tendency of increasing total cholesterol level should be carefully watched in dependent post-stroke patients.  Local food-based enteral nutrition supplementation for 3 consecutive weeks in post-stroke patients may improve their nutritional status.

摘要

我们对中风后患者使用基于当地食物的肠内营养制剂,以观察其对营养状况的影响。 这是一项针对中风后患者的采用前后测试研究设计的实验性研究。参与者在进行肠内营养补充前后接受临床和实验室检查,以评估其营养状况。含有竹芋粉、鳕鱼、豆豉(发酵大豆)、非乳制奶精和南瓜的肠内营养制剂在印度尼西亚日惹一家全国标准化的食品加工技术实验室制备。除患者日常饮食外,肠内营养制剂每天服用两次,连续服用3周。 使用[具体分析方法未给出]分析肠内营养补充前后的营养指标。所有统计分析的显著性水平为5%。 在22名中风后患者中,我们使用美国国立卫生研究院卒中量表≥3和巴氏指数<90的临界值来表示依赖程度。我们的研究结果显示,在进行肠内营养补充后,独立的中风后患者的上臂中部周长显著减小,体重指数增加。对于依赖的中风后患者,应密切关注总胆固醇水平升高的趋势。 中风后患者连续3周补充基于当地食物的肠内营养可能会改善其营养状况。

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