营养、康复及药物治疗对高度侵袭性手术后最严重并发症患者肌肉减少症的治疗：病例报告
Sarcopenia in a patient with most serious complications after highly invasive surgeries treated with nutrition, rehabilitation, and pharmacotherapy: a case report.
作者信息
Tatsumi Michiyo, Kumagai Satomi, Abe Takahiro, Murakami Soichi, Takeda Hiroshi, Shichinohe Toshiaki, Watanabe Yuko, Katayama Shinsuke, Hirai Shiaki, Honda Aiko, Takekuma Yoh, Sugawara Mitsuru
机构信息
Department of Pharmacy, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Department of Nutrition, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
出版信息
J Pharm Health Care Sci. 2021 Apr 6;7(1):16. doi: 10.1186/s40780-021-00197-9.
BACKGROUND
Several studies have reported the implementation of nutrition therapy and rehabilitation for acute and critical illnesses. However, rehabilitation nutrition for elderly sarcopenia patients with extremely severe postoperative complications during hospitalization has not yet been established.
CASE PRESENTATION
We report the case of a 70-year-old man with sarcopenia that developed as a postoperative complication of the surgical resection of perihilar cholangiocarcinoma and left the patient bedridden from prolonged malnutrition and muscle weakness. The patient's general condition improved after a nearly 6-month intervention by our Nutrition Support Team (NST) that combined nutrition, exercise, and pharmacotherapy.
CONCLUSIONS
The appropriate timing and order of pharmacotherapy, nutrient administration, exercise therapy, and team collaboration may enable elderly patients with severe (secondary) sarcopenia and postoperative complications to regain self-sustained walking.
背景
多项研究报告了急性和危重症疾病营养治疗与康复的实施情况。然而，针对住院期间伴有极其严重术后并发症的老年肌肉减少症患者的康复营养治疗尚未确立。
病例介绍
我们报告了一例70岁男性肌肉减少症患者，该病症是肝门周围胆管癌手术切除后的术后并发症，患者因长期营养不良和肌肉无力而卧床不起。经过我们营养支持团队（NST）近6个月的营养、运动和药物联合干预，患者的总体状况得到改善。
结论
药物治疗、营养供给、运动疗法的适当时间和顺序以及团队协作，可能使患有严重（继发性）肌肉减少症和术后并发症的老年患者恢复自主行走能力。
Zotero 插件