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題 名 | 營養支持對營養不良的心臟手術患者之營養狀況與預後的影響=Effect of Nutritional Support on Nutritional Status and Outcome in Malnourished Cardiac Surgery Patients |
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作 者 | 劉慧玲; 邱艷芬; 劉麗芬; 施俊哲; | 書刊名 | 慈濟醫學 |
卷 期 | 13:3 2001.09[民90.09] |
頁 次 | 頁177-185 |
分類號 | 416.351 |
關鍵詞 | 心臟手術; 營養支持; 營養狀況; 手術預後; Cardiac surgery; Nutritional support; Nutritional status; Post-operative prognosis; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:探討營養支持對營養不良的心臟手術患者之營養狀況的改變與 手術預後的相關性。病人與方法:本研究為追蹤研究,以立意取樣收集自某醫學 中心之26位接受心臟手術的營養不良患者,於心臟手術後給予營養支持,並每 週評估病人的營養狀況及手術預後。結果:1. 理想體重百分比於營養支持後第 一週、第二週有明顯的增加(p<0.01)。2.上臂中點肌肉環圍雖然於營養支持後第 一、二週不及營養支持前平均值的百分比,但是第二週較第一週增加(p<0.05)。 3.第二週之存活者的血清白蛋白、血比容、淋巴球總數於手術後第二週均高於死 亡者(p<0.05) 。4.手術後第一週每日平均攝取的熱量與各手術後預後為不具相關 性,而手術後第二週平均每日攝取的熱量分別與手術後住院天數(p<0.05)、手術 後第一次下床的時間(p<0.01)呈負相關。結論:營養支持是可以促進營養不良之 心臟手術病人之預後,明顯提高手術初期病人的存活,可參考本研究結果作為提 供心臟手術病患營養支持的參考。(慈濟醫學 2001; 13:177-185) |
英文摘要 | objective: The purpose of this study was to investigate the relationship between changes in nutritional status and post-operative outcome among cardiac surgery patients following nutritional support. Patients and Methods: The study used a follow-up method. Twenty-six Malnourished subjects who underwent cardiac surgery at medical centers in Taipei were recruited by purposive sampling. These patients were evaluated periodically with respect to their nutritional index and prognostic index during the post-operative hospitalization period. Results: Major findings of this study were as follows: 1.The percentage of patients with ideal body weight among patients showed a marked increase during post- nutritonal support weeks 1 and 2 (p<0.01). 2. The patient's mid-arm circumferences decreased during post- nutritional support weeks 1 and 2 compared with pre-op averages, but a rebound was observed from week 1 to week 2 (p<0.05). 3. Serum albumin, hematocrit and total lymphocytes at 2 weeks after the initiation of nutritional support were significantly higher in surviving than in deceased patients. 4. The average caloric intake during post-op week 1 was not significantly correlated with the post-operative prognostic indices, while that of post-op week 2 was negatively correlated with the number of post-op hospitalization days (p<0.01) as well as length of post-op bed-ridden time (p<0.01). Conculsions: These results indicate that nutritional support can improve the outcome of malnourished cardiac surgery patients and significantly increase the survival rate in the early post-operative period.This study can serve as a useful reference in clinical practice. (Tzu Chi Med J 2001; 13:177-185) |
本系統中英文摘要資訊取自各篇刊載內容。