Wipke-Tevis D D, Stotts N A
J Vasc Nurs. 1996 Jun;14(2):27-33. doi: 10.1016/s1062-0303(96)80012-4.
Chronic leg ulcers occur in at least 1% of the adult population. The healing of these ulcers remains a clinical challenge. The purpose of this pilot study was to explore the nutritional risk, status, and intake of seven patients with venous ulcers. The Public Awareness Checklist categorized two subjects as being at low risk, two as moderate risk, and three subjects as high nutritional risk. Biochemical indicators of nutritional status identified abnormalities in hemoglobin and/or hematocrit, albumin, transferrin, zinc, and total lymphocyte count. Mean daily intake was inadequate to meet caloric needs in five of six subjects. By conservative estimates (RDA), two subjects had an inadequate protein intake. Data suggest that at least some individuals with venous ulcers are at nutritional risk, have abnormalities in their nutritional status, and/or have an inadequate intake to support healing. Future research is needed to explore the relationship between nutrition and rate of healing in individuals with venous ulcers.
慢性腿部溃疡在至少1%的成年人口中出现。这些溃疡的愈合仍然是一项临床挑战。这项初步研究的目的是探究7名静脉性溃疡患者的营养风险、状况和摄入量。公众认知清单将两名受试者归类为低风险，两名归类为中度风险，三名受试者为高营养风险。营养状况的生化指标显示血红蛋白和/或血细胞比容、白蛋白、转铁蛋白、锌以及总淋巴细胞计数存在异常。六名受试者中有五名的平均每日摄入量不足以满足热量需求。根据保守估计（推荐膳食摄入量），两名受试者的蛋白质摄入量不足。数据表明，至少一些静脉性溃疡患者存在营养风险，营养状况异常，和/或摄入量不足以支持愈合。需要未来的研究来探究营养与静脉性溃疡患者愈合速度之间的关系。
