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題 名 | 積極營養介入對使用呼吸器之急性呼吸衰竭患者之效益探討=Effect of Aggressive Nutritional Intervention on Acute Respiratory Failure Patients with Ventilator Support |
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作 者 | 李明芬; 許祥純; 林孟志; | 書刊名 | 臺灣營養學會雜誌 |
卷 期 | 33:1 2008.03[民97.03] |
頁 次 | 頁30-38 |
分類號 | 411.3 |
關鍵詞 | 急性呼吸衰竭; 呼吸器; 營養不良; 營養介入; 腸道營養; Acute respiratory failure; Ventilator; Malnutrition; Nutritional intervention; Enternal nutrition; |
語 文 | 中文(Chinese) |
中文摘要 | 近來的文獻已證實營養支持可改善重症病患死亡率、罹病率。重症病患常發生營養攝取不足的情形,營養不良的病患會因呼吸器依賴天數增加而延長加護病房住院天數、感染率增加及傷口癒合時間延長。營養支持可預防加護病房患者的攝取不足。正確評估營養需求及監測攝取量可預防灌食不足及過量所引起的併發症。本研究主要目的為以使用呼吸器之內科加護病房住院7天以上,總住院天數26至100天且經由管灌餵食之急性呼吸衰竭病患為對象,探討積極性營養介入對臨床預後之影響。結果顯示一般照護組的體重明顯減輕(0.84±3.95kg vs -2.81±2.74kg; p=0.030)且呈現較嚴重的負氮平衡(-6.4±4.44 vs -3.24±3.35g/day, P=0.040)。營養介入組使用呼吸器天數明顯縮短(25.06±13.53 vs 28.44±12.88 day, P=0.040)。臨床營養師的積極介入可減少病患的體重減輕、負氮平衡、使用呼吸器天數,因此常規性營養介入對於使用呼吸器的內科病患是有必要的。 |
英文摘要 | Recent reviews have documented evidence that nutritional support improves the morbidity and mortality rates of critically ill patients. Critically ill patients frequently receive inadequate nutritional support. Malnutrition in intensive care unit (ICU) patients is associated with increased lengths of ICU stay due to increased ventilator dependency, higher rates of infection, and delayed wound healing. Nutritional support plays a vital role in preventing nutritional deficiencies in ICU patients. Accurately assessing nutritional requirements and monitoring the adequacy of nutritional intake in critically ill patients can help ensure that complications associated with underfeeding or overfeeding are avoided. The primary aim of this study was to determine the impact of an aggressive nutritional intervention on the outcomes of acute respiratory failure patients. All patients were treated in a medical ICU with ventilator support for over 1 week with lengths of stay of 26 100 days, and who received enteral nutrition. Patients were classified according to whether or not they received aggressive nutritional intervention. Data showed that patients in the usual care group had statistically greater weight loss (0.84±3.95 vs. -2.81±2.74kg; p=0.030) and a severe negative nitrogen balance (-3.24±3.35 vs. -6.47±4.44g/day; p=0.040). The length of ventilator support in the aggressive nutritional intervention group also significantly decreased (25.06±13.53 vs. 28.44±12.88 days; p=0.040). Aggressive nutritional intervention significantly reduced patient weight loss, negative nitrogen balance, and ventilator-dependent days. Routine administration of nutritional intervention in medical patients receiving mechanical ventilation is suggested. |
本系統中英文摘要資訊取自各篇刊載內容。