儿科患者的身体组成
Patrícia Zamberlan1, Beatriz P Mazzoni2, Maria A C Bonfim2
1Instituto da Criança e do Adolescente/Division of Nutrition, Support Team, Universidade de São Paulo Hospital das Clínicas, São Paulo, Brazil.
概括
严重疾病儿童的营养不良会使结果变得更糟. 早期营养评估和身体组成分析,特别是手臂测量,可以帮助预测预后,并改善对这些脆弱患者的护理.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 营养科学 营养科学
- 临床评估 临床评估
背景情况:
- 营养不良在重症儿童中很常见,增加了发病率和死亡率.
- 它会导致诸如感染,伤口愈合不良和长时间通风等并发症.
- 严重疾病中的炎症反应会改变新陈代谢和身体组成.
研究的目的:
- 对重症儿童的身体组成评估的证据进行审查.
- 确定可靠的方法来评估营养状况和预后.
- 强调早期营养干预的重要性.
主要方法:
- 审查关于身体组成评估技术的现有文献.
- 分析方法包括人体测量,生物电阻和成像.
- 对身体组成对临床结果的预测价值的评估.
主要成果:
- 臂部测量已被确立为评估这个人群的身体组成.
- 用相角,手握强度,小腿周长和超声波进行的生物电阻分析显示出有前途.
- 身体成分评估对于营养评估和预后预测至关重要.
结论:
- 早期营养评估和身体成分分析对于重症儿童至关重要.
- 手臂测量是一种可靠的方法,而其他测量则显示出未来使用的潜力.
- 需要进一步的强有力的研究来证实各种评估技术的有效性.
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