[在重症综合创伤的受害者康复中提供营养支持]
V V Stets1,2, E G Kolobaeva1, E A Grabko1
1Main Military Clinical Hospital named after Academician N.N. Burdenko, Moscow, Russia.
Khirurgiia
|October 18, 2024
概括
患有严重结合性损伤的患者经常出现营养不良. 用蛋白质模块补充他们的饮食改善了蛋白质代谢和瘦体质量,提高了康复的有效性.
科学领域:
- 临床营养学 临床营养学
- 创伤康复 创伤康复
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 严重的综合伤害 (多创伤) 患者在接受康复治疗时经常出现中度至严重的蛋白质能量营养不良.
- 这种营养不良的特点是总蛋白质,白蛋白和转蛋白水平的降低,以及缺乏体质蛋白质池和减少瘦肉体质量.
研究的目的:
- 评估蛋白质模块 (Fresubin Protein) 的临床和康复效果,作为多创伤患者治疗营养的一部分.
- 评估蛋白质补充剂在康复阶段对代谢参数和身体组成的影响.
主要方法:
- 一项涉及43名多创伤患者的研究,这些患者被转移到专门的神经外科部门进行康复.
- 患者接受标准饮食或标准饮食补充蛋白质模块 (0.8 g/kg体重).
- 评估了生物化学参数,身体组成,能量代谢 (间接热量计) 和胃肠功能.
主要成果:
- 两组患者在基线时表现出蛋白质能量营养不良.
- 在蛋白质代谢动态和炎症标志物 (CRP,白细胞计数) 之间观察到相关性.
- 接受蛋白质模块的组显示蛋白质代谢参数显著正常化,并在第21天增加了瘦体质量.
结论:
- 接受康复治疗的多创伤患者往往有显著的蛋白质能量营养不良和蛋白质代谢障碍,限制了康复潜力.
- 用0.8g/kg体重的蛋白质模块补充剂有效地纠正了这些疾病.
- 在治疗营养中加入蛋白质模块可以提高整体营养状况,并促进重症综合损伤患者的康复效率提高.
关键词:
碳水化合物是一种碳水化合物.肠道营养 肠道营养 肠道营养脂肪代谢 脂肪代谢营养状态 营养状况蛋白质蛋白质是蛋白质蛋白质的组成部分.蛋白质模块中的蛋白质模块.蛋白质能量缺乏症 蛋白质能量缺乏症严重的联合伤害 (多创伤)更多相关视频
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