饥饿和在住院成年人中从肠外营养过渡:描述性队列研究
Sergio Henrique Loss1,2, Klara Muller Alves1, Aline Camargo Nunes1
1Department of Nutritional Therapy, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
JPEN. Journal of parenteral and enteral nutrition
|December 16, 2024
概括
亲肠道营养 (PN) 在大多数患者中并不能抑制饥饿感. 诸如年龄,炎症和癌症等因素,而不是PN本身,可能解释食欲不足,指导食过渡策略.
科学领域:
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
- 患者的治疗结果.
背景情况:
- 对于无法使用消化道的患者来说,腹腔营养 (PN) 非常重要.
- 延迟食欲恢复后PN是常见的,但有助于因素是不了解.
- 这项研究调查了接受PN的住院患者的饥饿和食欲感知.
研究的目的:
- 为了确定接受腹腔营养 (PN) 的住院患者是否经历饥饿或食欲的减少.
- 为了确定影响饥饿和腹的因素在PN期间和之后.
- 为了为从PN转向口服或肠道养的患者提供临床决策的信息.
主要方法:
- 在2022年4月至2023年7月期间接受PN的102名成年患者的描述性队列研究.
- 在PN,过渡和PN戒断阶段使用经过验证的工具评估饥饿和腹感.
- 对患者特征,营养支持和过渡成功率的分析.
主要成果:
- 62.7%的患者报告说在PN期间感到饥饿.
- 脂质剂量和能量减少策略没有影响饥饿或腹感.
- 在PN期间的饥饿与过渡到口腔/肠道营养的成功率高出2.38倍.
- 更高的年龄,炎症和转移性癌症与缺乏饥饿有关.
结论:
- 腹腔营养 (PN) 似乎没有抑制饥饿感.
- 除了营养治疗之外的其他因素,如年龄,炎症和癌症,可能会解释食欲的缺失.
- 结果可以指导个性化策略,使患者从PN过渡到口服/肠道养.
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