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长期鼻饲要素饮食对老年虚弱患者的影响。

Effects of long-term elemental nasogastric feeding on elderly debilitated patients.

作者信息

O'Hara J G, Kennedy S, Lizewski W

出版信息

Can Med Assoc J. 1973 Apr 21;108(8):977-80.

PMID:4633490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1941344/
Abstract

The effects of a liquid elemental diet on nine patients requiring nasogastric tube feeding because of severe dysphagia were studied. A casein based feeding served as a control. The elemental diet was given over a 12-week period except in the case of one man who expired after nine weeks from causes unrelated to the diet.The feeding was well tolerated by the digestive tract. Satisfactory nutrition appeared to be maintained as indicated by weight gain, stable hemoglobin, serum total protein and albumin values, and normal healing of pressure sores. BUN levels decreased significantly. Uric acid levels increased but remained within normal limits. Pancreatic function was unaffected clinically and from the postmortem findings of the man who died, pancreatic morphology was normal. Fasting blood sugars, serum electrolytes, hematocrit, bleeding, clotting and prothrombin times, and platelet counts were normal.

摘要

研究了液体要素饮食对9例因严重吞咽困难而需鼻胃管喂食患者的影响。以酪蛋白为基础的喂食作为对照。要素饮食持续给予12周,但有1名男性在9周后因与饮食无关的原因死亡。消化道对这种喂食耐受性良好。体重增加、血红蛋白稳定、血清总蛋白和白蛋白值正常以及压疮愈合正常表明营养状况维持良好。血尿素氮水平显著下降。尿酸水平升高但仍在正常范围内。临床观察胰腺功能未受影响,从死亡男性的尸检结果来看,胰腺形态正常。空腹血糖、血清电解质、血细胞比容、出血、凝血和凝血酶原时间以及血小板计数均正常。

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本文引用的文献

1
The prophylactic use of an "elemental" diet in experimental hemorrhagic shock and intestinal ischemia.“要素”饮食在实验性失血性休克和肠道缺血中的预防性应用。
Ann Surg. 1967 Sep;166(3):312-43. doi: 10.1097/00000658-196709000-00002.
2
Use of the "space diet" in the management of a patient with extreme short bowel syndrome.“太空饮食”在极短肠综合征患者管理中的应用。
Am J Surg. 1969 Apr;117(4):449-59. doi: 10.1016/0002-9610(69)90003-8.
3
Blood urea measurement as a technique for assessing protein quality.血液尿素测量作为评估蛋白质质量的一项技术。
Br J Nutr. 1970 Dec;24(4):983-8. doi: 10.1079/bjn19700101.
4
Studies in metabolic nutrition employing chemically defined diets. I. Extended feeding of normal human adult males.采用化学限定饮食进行的代谢营养研究。I. 正常成年男性的长期喂养。
Am J Clin Nutr. 1970 May;23(5):525-45. doi: 10.1093/ajcn/23.5.525.
5
Role of the intestinal contents in the pathophysiology of acute intestinal ischemia.肠内容物在急性肠缺血病理生理学中的作用。
Am J Surg. 1967 Sep;114(3):368-75. doi: 10.1016/0002-9610(67)90158-4.
6
Use of an elemental diet in the nutritional management of catabolic disease in infants.要素饮食在婴儿分解代谢性疾病营养管理中的应用。
Am J Surg. 1972 Apr;123(4):374-9. doi: 10.1016/0002-9610(72)90186-9.
7
Clinical uses of an elemental diet: preliminary studies.要素饮食的临床应用:初步研究
Can Med Assoc J. 1972 Jul 22;107(2):123-9.
8
Use of a chemically defined, liquid, elemental diet for nutritional management of fistulas of the alimentary tract.使用化学组成明确的液态要素膳对消化道瘘进行营养管理。
Am J Surg. 1971 Feb;121(2):174-83. doi: 10.1016/0002-9610(71)90096-1.
9
Use of concentrated, balanced, liquid elemental diet for nutritional management of catabolic states.使用浓缩、均衡的液体元素饮食对分解代谢状态进行营养管理。
Ann Surg. 1969 Oct;170(4):642-68. doi: 10.1097/00000658-196910000-00015.