Ireton-Jones C S, Stiller D L
Nutrition Program Management, Coram Healthcare, Preferred Nutrition Therapists, Carrollton, Texas, USA.
Nutrition. 1998 Sep;14(9):731-5. doi: 10.1016/s0899-9007(98)00053-7.
This study evaluated the outcomes of patients with acquired immunodeficiency syndrome (AIDS) provided home total parenteral nutrition (HTPN) when specific criteria were used to initiate HTPN. Fifteen males who received HTPN and seven males who consumed only an oral diet were studied. The HTPN patients received an average of 55 kcal.kg-1.d-1 and 2.0 g of protein.kg-1.d-1 from HTPN and oral diet. Non-HTPN patients consumed an average of 35 kcal.kg-1.d-1 and 1.2 g protein.kg-1.d-1. Body weight (BW), lean body mass (LBM), and serum albumin (SA) were measured when HTPN was initiated or initial nutrition counseling was provided to the non-HTPN patients and again at the end of the study period. Over the study period, the HTPN patients gained an average 5.5 kg of BW and 3.0 kg of LBM, whereas the non-HTPN lost an average of 5.0 kg of BW and 3.0 kg of LBM. BW and LBM may be used to assess the response to HTPN in AIDS patients.
本研究评估了获得性免疫缺陷综合征（AIDS）患者在采用特定标准启动家庭肠外营养（HTPN）时的治疗结果。研究了15名接受HTPN的男性和7名仅采用口服饮食的男性。HTPN患者从HTPN和口服饮食中平均每日每千克体重摄入55千卡热量和2.0克蛋白质。非HTPN患者平均每日每千克体重摄入35千卡热量和1.2克蛋白质。在启动HTPN时或向非HTPN患者提供初始营养咨询时以及在研究期末测量体重（BW）、瘦体重（LBM）和血清白蛋白（SA）。在研究期间，HTPN患者平均体重增加5.5千克，瘦体重增加3.0千克，而非HTPN患者平均体重减轻5.0千克，瘦体重减轻3.0千克。体重和瘦体重可用于评估AIDS患者对HTPN的反应。
