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在重度痴呆老年患者的长期护理中使用高麸皮面包治疗便秘。

Treatment of constipation with high-bran bread in long-term care of severely demented elderly patients.

作者信息

Sandman P O, Adolfsson R, Hallmans G, Nygren C, Nystrom L, Winblad B

出版信息

J Am Geriatr Soc. 1983 May;31(5):289-93. doi: 10.1111/j.1532-5415.1983.tb04873.x.

DOI:10.1111/j.1532-5415.1983.tb04873.x
PMID:6302153
Abstract

Constipation in institutionalized elderly is a common and difficult problem. Thirty-three institutionalized demented patients with severe constipation were given a high-bran bread instead of their accustomed laxatives. Changes in defecation habits, food and liquid intake, and metabolic status were registered. During the high-bran bread treatment period, the number of bowel evacuations and the estimated volume of feces increased. The total laxative consumption (doses given per day) decreased by 93 per cent. Nutritional data and metabolic status were unchanged during the high-bran bread period except for a reduction of the postprandial blood glucose response after the glucose tolerance test.

摘要

机构养老老年人的便秘是一个常见且棘手的问题。33名患有严重便秘的机构养老痴呆患者不再服用他们惯用的泻药,而是食用高麸皮面包。记录排便习惯、食物和液体摄入量以及代谢状况的变化。在食用高麸皮面包治疗期间,排便次数和估计的粪便量增加。泻药的总消耗量(每天服用的剂量)减少了93%。在食用高麸皮面包期间,营养数据和代谢状况没有变化,只是葡萄糖耐量试验后餐后血糖反应有所降低。

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