老年慢性病患者长期应用成品匀浆膳的营养评价(英文)

Evaluation of the impact in longterm application of finished product of homogenate meal on senior patients with chronic diseases

背景:匀浆膳可作为正常饮食的替代品可应用于医院和家庭。老年慢性病患者自身合并疾病复杂,使用周期长,故用于对其营养支持的匀浆膳需包含多种成分。目的:研究长期管喂成品匀浆膳对高龄患者营养支持的效果。设计:以诊断为依据的横断面研究。地点、对象和方法:在解放军广州军区广州总医院选取食用自制成品匀浆膳1年以上的老年慢性病患者24例进行营养支持,观察支持前及支持后4,8和12个月营养指标的变化。主要观察指标:匀浆膳营养支持前后24例老年慢性病患者人体测量指标和实验室检查指标比较。结果:营养支持前,支持后4,8,12个月血清白蛋白分别为犤(36.4±4.03),(36.60±4.42),(38.20±3.77),(40.40±3.33)g/L犦、磷和外周淋巴细胞计数有显著增高,血糖自4个月起减低,与支持前比较差异显著(t=2.196～2.356,P<0.05;t=2.958～3.431,P<0.01)。人体测量指标也较治疗前有所改善。结论:长期应用成品匀浆膳能提高老年患者自身的营养状态。

BACKGROUND:Homogenate meals,as a replacement of normal diet, can be used in either hospitals or families.The homogenate meal as nutritious supplements should contain multiple components when it is applied in senior patients with chronic diseases because of the longterm application and complex complications. OBJECTIVE:To investigate the impact of longterm tube feed of finished product of homogenate meal on the nutritious supplements of senior patients. DESIGN:A cross-sectional study based on diagnosis. SETTING,PARTICIPANTS and METHODS:Totally 24 senior patients with chronic diseases who had been used self-made finished products of homogenate meal for more than 1 year were selected for nutritious supplement from Guangzhou General Hospital of Guangzhou Military Area Command of Chinese PLA.The changes of nutritious index at before and 4,8 and 12 months after supplement were observed. MAIN OUTCOME MEASURES:Anthropometric measurement index and laboratorial index of 24 senior patients with chronic diseases before and after intervention were compared. RESULTS:Serous albumin at before nutritious supplements,and 4,8 and 12 months after supplements were[(36.4±4.03),(36.60±4.42),(38.20±3.77),and(40.40±3.33)] g/L respectively. Phosphorus and peripheral lymphocytes were significantly heightened while blood sugar began to decrease since 4 months after intervention,which all had significant differences compared with that of before intervention(t=2.196-2.356,P< 0.05;t=2.958-3.431.P< 0.01).Anthropometric measurement index also improved compared with that of before intervention. CONCLUSION:Longterm application of finished product of homogenate meal can improve the nutritious status of senior patients with chronic diseases.