与传染性结肠炎老年患者的腹腔营养热量供应相关的临床结果
Yuro Kang1, Jung Hwan Lee2, Soo-Hyun Park3
1College of Medicine, Inha University, Incheon 22212, Republic of Korea.
Nutrients
|December 11, 2025
概括
对于患有传染性结肠炎的老年患者,每天接受1000千卡以上的肠外营养 (PN) 可以显著缩短住院时间. 这一发现支持优化热量摄入量,以改善这种疾病的老年患者的治疗结果.
科学领域:
- 老年医学 老年医学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 营养不良是老年患者不良结果的一个重要因素.
- 感染性结肠炎往往需要通过肠道营养 (PN) 由于脱水和口服摄入不足.
- 在患有传染性结肠炎的老年患者中,PN的最佳热量值尚未确立.
研究的目的:
- 研究患有传染性结肠炎的老年患者的腹腔营养 (PN) 热量值和住院时间之间的关联.
- 在这个患者群体中确定长时间住院的风险因素.
主要方法:
- 对278名患有传染性大肠炎的老年患者 (≥65岁) 进行了回顾性观察研究.
- 患者根据每日PN热量摄入量进行分类:>1000千卡/天或≤1000千卡/天.
- 使用后勤回归分析来确定长时间住院 (>4天) 的风险因素.
主要成果:
- 接受>1000 kcal/day PN的患者与接受≤1000 kcal/day (4.2天;p=0.03) 的患者相比,平均逗留时间显著缩短 (3.8天).
- 不足够的热量摄入,从长期护理中入院,ESR升高和淋巴衰竭独立地与长时间住院有关.
- 在PN热量摄入组之间没有观察到在医院死亡率的显著差异.
结论:
- 适当的PN补充剂超过1000千卡/天与老年患者诊断出感染性结肠炎的住院时间减少有关.
- 优化PN热量输送可能是改善临床结果和减少这一弱势群体医疗保健资源利用的关键策略.
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