期刊文献+
共找到623篇文章
< 1 2 32 >
每页显示 20 50 100
Nutritional epigenetics education improves diet and attitude of parents of children with autism or attention deficit/hyperactivity disorder
1
作者 Renee J Dufault Katherine M Adler +2 位作者 David O Carpenter Steven G Gilbert Raquel A Crider 《World Journal of Psychiatry》 SCIE 2024年第1期159-178,共20页
BACKGROUND Unhealthy maternal diet leads to heavy metal exposures from the consumption of ultra-processed foods that may impact gene behavior across generations,creating conditions for the neurodevelopmental disorders... BACKGROUND Unhealthy maternal diet leads to heavy metal exposures from the consumption of ultra-processed foods that may impact gene behavior across generations,creating conditions for the neurodevelopmental disorders known as autism and attention deficit/hyperactivity disorder(ADHD).Children with these disorders have difficulty metabolizing and excreting heavy metals from their bloodstream,and the severity of their symptoms correlates with the heavy metal levels measured in their blood.Psychiatrists may play a key role in helping parents reduce their ultra-processed food and dietary heavy metal intake by providing access to effective nutritional epigenetics education.AIM To test the efficacy of nutritional epigenetics instruction in reducing parental ultra-processed food intake.METHODS The study utilized a semi-randomized test and control group pretest-posttest pilot study design with participants recruited from parents having a learning-disabled child with autism or ADHD.Twenty-two parents who met the inclusion criteria were randomly selected to serve in the test(n=11)or control(n=11)group.The test group participated in the six-week online nutritional epigenetics tutorial,while the control group did not.The efficacy of the nutritional epigenetics instruction was determined by measuring changes in parent diet and attitude using data derived from an online diet survey administered to the participants during the pre and post intervention periods.Diet intake scores were derived for both ultra-processed and whole/organic foods.Paired sample t-tests were conducted to determine any differences in mean diet scores within each group.RESULTS There was a significant difference in the diet scores of the test group between the pre-and post-intervention periods.The parents in the test group significantly reduced their intake of ultra-processed foods with a preintervention diet score of 70(mean=5.385,SD=2.534)and a post-intervention diet score of 113(mean=8.692,SD=1.750)and the paired t-test analysis showing a significance of P<0.001.The test group also significantly increased their consumption of whole and/or organic foods with a pre-intervention diet score of 100(mean=5.882,SD=2.472)and post-intervention diet score of 121(mean=7.118,SD=2.390)and the paired t-test analysis showing a significance of P<0.05.CONCLUSION Here we show nutritional epigenetics education can be used to reduce ultra-processed food intake and improve attitude among parents having learning-disabled children with autism or ADHD. 展开更多
关键词 EPIGENOMICS Parenteral nutrition AUTISM Attention deficit/hyperactivity disorder Ultra-processed foods Heavy metals
下载PDF
Biopsychosocial Review of Eating Disorders
2
作者 Elizabeth Esbenshade Alexandra Venegas 《Open Journal of Psychiatry》 2024年第2期107-119,共13页
Eating disorders are among the deadliest mental illnesses known to occur. Eating disorders directly cause 10,200 deaths each year, which is one death every 52 minutes. About 9% of the global population is affected by ... Eating disorders are among the deadliest mental illnesses known to occur. Eating disorders directly cause 10,200 deaths each year, which is one death every 52 minutes. About 9% of the global population is affected by eating disorders at some point during their lifetime. This paper aims to provide a better understanding of the factors that contribute to the onset of eating disorders. Specifically, we examine biological factors, such as genetics, family history and the neuroscience behind eating disorders;furthermore, we explore psychological factors including other mental health conditions and their correlation, personality traits and behavioral risk factors;lastly, we consider social factors related to the onset of eating disorders, such as childhood and social environment, the media, and demographic factors. 展开更多
关键词 Eating disorders Risk Factors etiology
下载PDF
Parental Stress and Sensory Integration Disorder as Risk Factors for Eating Disorders Poor Nutrition and Growth Delay Among Toddlers
3
作者 Pnina Hertz 《Cultural and Religious Studies》 2019年第8期406-413,共8页
Selective eating among toddlers is a well-known phenomenon which is characterized by varied factors including nutritional deficits and a unique and challenging sensory profile.Our clinical experience in a multidiscipl... Selective eating among toddlers is a well-known phenomenon which is characterized by varied factors including nutritional deficits and a unique and challenging sensory profile.Our clinical experience in a multidisciplinary feeding and eating clinic,in Hadassah Medical Center of Jerusalem binds specific feeding and eating patterns with high levels of parental stress ll.Parental stress is combined by three domains:parental general approach of satisfaction,the quality of interaction with child and child’s temperament,as perceived by parent.Our cross-sectional research includes 42 pairs of parents and their children,referring the clinic due to selective eating and suspected sensory integration disorder.Our study includes a broad nutritional assessment,questionnaires testing parental stress(PSI-4)and questionnaires testing sensory integration(Toddler Sensory Profile-2)and anthropometric indices.Our study’s results are relevant family physicians and pediatricians working in the community,who address diagnosis like autistic spectrum disorder,attention deficit hyperactive disorder,developmental delay,and learning disabilities that interface with domains of parental stress and experience of parenting interaction and child temperament,as well as sensory integration and limited eating and nutrition.Research results are significant in the field of locating babies and families needing early intervention and as a base of promoting intervention programs of prevention and treatment of toddlers and their parents.It is important to apply suitable intervention programs based on a reflective manner about dyadic and triadic eating and feeding relations,in the family unit,considering the cultural context. 展开更多
关键词 sensory integration PARENTAL stress child TEMPERAMENT FEEDING relations under eating disordER multidisciplinary FEEDING clinic nutrition deficiency
下载PDF
Food intolerance and the few-foods(or oligoantigenic)diet in children with attention-deficit hyperactivity disorder
4
作者 Klaus W.Lange Andreas Reissmann +1 位作者 Yukiko Nakamura Katharina M.Lange 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期1729-1738,共10页
The hypothesis that some children with attention-deficit hyperactivity disorder(ADHD)may show sensitivity or allergic reactions to various food items has led to the development of the the few-foods(or oligoantigenic)d... The hypothesis that some children with attention-deficit hyperactivity disorder(ADHD)may show sensitivity or allergic reactions to various food items has led to the development of the the few-foods(or oligoantigenic)diet.The rationale of the diet is to eliminate certain foods from the diet in order to exclude potential allergens contained either naturally in food or in artificial ingredients with allergenic properties.The oligoantigenic diet attempts to identify individual foods to which a person might be sensitive.First,ADHD symptoms are monitored while multiple foods are excluded from the diet.Subsequently,if symptoms remit,foods are re-introduced,while observing the individual for the return of symptoms.An advantage of the oligoantigenic diet is that it can be tailored to the individual.A growing body of evidence suggests that behavioral symptoms of subgroups of children with ADHD may benefit from the elimination of certain foods.The effect sizes of an oligoantigenic diet regarding improvement of ADHD symptoms have been found to be medium to large.Available evidence suggests that the investigation of the role of food hypersensitivities in ADHD is a promising avenue worthy of further exploration.Further large-scale,randomized controlled studies including assessment of long-term outcome are therefore warranted. 展开更多
关键词 Attention-deficit hyperactivity disorder Food intolerance Few-foods diet etiology TREATMENT
下载PDF
Advances in nutritional therapy in inflammatory boweldiseases:Review 被引量:22
5
作者 Andrzej Wędrychowicz Andrzej Zając Przemysław Tomasik 《World Journal of Gastroenterology》 SCIE CAS 2016年第3期1045-1066,共22页
Inflammatory bowel diseases(IBD), including ulcerative colitis and Crohn's disease are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Currently, there are no complete cure possibilities,... Inflammatory bowel diseases(IBD), including ulcerative colitis and Crohn's disease are chronic, life-long, and relapsing diseases of the gastrointestinal tract. Currently, there are no complete cure possibilities, but combined pharmacological and nutritional therapy may induce remission of the disease. Malnutrition and specific nutritional deficiencies are frequent among IBD patients, so the majority of them need nutritional treatment, which not only improves the state of nutrition of the patients but has strong anti-inflammatory activity as well. Moreover, some nutrients, from early stages of life are suspected as triggering factors in the etiopathogenesis of IBD. Both parenteral and enteral nutrition is used in IBD therapy, but their practical utility in different populations and in different countries is not clearly established, and there are sometimes conflicting theories concerning the role of nutrition in IBD. This review presents the actual data from research studies on the influence of nutrition on the etiopathogenesis of IBD and the latest findings regarding its mechanisms of action. The use of both parenteral and enteral nutrition as therapeutic methods in induction and maintenance therapy in IBD treatment is also extensively discussed. Comparison of the latest research data, scientific theories concerning the role of nutrition in IBD, and different opinions about them are also presented and discussed. Additionally, some potential future perspectives for nutritional therapy are highlighted. 展开更多
关键词 Dietary factors etiology nutritionaltherapy PARENTERAL nutrition EXCLUSIVE ENTERAL nutrition Induction THERAPY Maintenance THERAPY Inflammatorybowel disease
下载PDF
Consequence alimentary reconstruction in nutritional status after total gastrectomy for gastric cancer 被引量:8
6
作者 WU Yin Ai 1, LU Bin 1, LIU Jun 1, LI Jiang 1, CHEN Jiang Rong 2 and HU Shi Xiong 1 《World Journal of Gastroenterology》 SCIE CAS CSCD 1999年第1期39-42,共4页
AIM To investigate the effect of gastroenteric reconstruction on the nutritional status of patients with gastric cancer after total gastrectomy. METHODS From 1989 1994, nutritional status was studied in 24 patient... AIM To investigate the effect of gastroenteric reconstruction on the nutritional status of patients with gastric cancer after total gastrectomy. METHODS From 1989 1994, nutritional status was studied in 24 patients, including 12 patients with the gastric reservoir and pyloric sphincter reconstruction (GRPS), 7 with Braun′s esophago jejunostomy (EJ) and 5 with Lawrance′s Roux en Y reconstruction (RY). The ability of these patients to ingest and absorb the amount of nutrients was examined and compared, and metabolic balance test was performed to compare the efficiency of those patients to accumulate and use the absorbed nutrients. RESULTS In the controlled hospital situation, the amount of food ingested by all the patients was greater than that required for maintenance of ideal body weight. In direct contrast, food intake in most patients with EJ or RY reconstruction significantly decreased when the patients returned home and that in EJ patients it was the lowest. The overgrowth of anaerobic bacteria was found in the jejunum in the patients with EJ and RY, due mainly to food stasis in the duodenum or in the Roux limb, caused by the operative procedure itself. In patients with GRPS, because of restoring of the alimentary continuity according to the normal digestive physiologic characters, all the nutritional parameters could fall in the normal range. CONCLUSION The most common mechanism responsible for postoperative malnutrition was inadequate food intake. Having solved the problem of alkaline reflux esophagitis, it is imperative to preserve the duodenal food passage to reduce malabsorption and other complications after total gastrectomy. 展开更多
关键词 STOMACH neoplasms GASTRECTOMY nutritionAL STATUS nutrition disorders ESOPHAGITIS
下载PDF
Nutritional status and nutritional therapy in inflammatory bowel diseases 被引量:47
7
作者 Corina Hartman Rami Eliakim Raanan Shamir 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第21期2570-2578,共9页
Underweight and specific nutrient deficiencies are frequent in adult patients with inflammatory bowel disease(IBD).In addition,a significant number of children with IBD,especially Crohn's disease(CD) have impaired... Underweight and specific nutrient deficiencies are frequent in adult patients with inflammatory bowel disease(IBD).In addition,a significant number of children with IBD,especially Crohn's disease(CD) have impaired linear growth.Nutrition has an important role in the management of IBD.In adults with CD,enteral nutrition(EN) is effective in inducing clinical remission of IBD,although it is less efficient than corticosteroids.Exclusive EN is an established primary therapy for pediatric CD.Limited data suggests that EN is as efficient as corticosteroids for induction of remission.Additional advantages of nutritional therapy are control of inflammation,mucosal healing,positive benefits to growth and overall nutritional status with minimal adverse effects.The available evidence suggests that supplementary EN may be effective also for maintenance of remission in CD.More studies are needed to confirm these findings.However,EN supplementation could be considered as an alternative or as an adjunct to maintenance drug therapy in CD.EN does not have a primary therapeutic role in ulcerative colitis.Specific compositions of enteral dietselemental diets or diets containing specific components-were not shown to have any advantage over standard polymeric diets and their place in the treatment of CD or UC need further evaluation.Recent theories suggest that diet may be implicated in the etiology of IBD,however there are no proven dietary approaches to reduce the risk of developing IBD. 展开更多
关键词 Inflammatory bowel disease Crohn'sdisease Ulcerative colitis ADULTS CHILDREN MALnutrition Growth disorders nutrition therapy
下载PDF
Nutrition,nutritional deficiencies,and schizophrenia:An association worthy of constant reassessment 被引量:1
8
作者 Olakunle James Onaolapo Adejoke Yetunde Onaolapo 《World Journal of Clinical Cases》 SCIE 2021年第28期8295-8311,共17页
Schizophrenia is a mental health disorder that occurs worldwide,cutting across cultures,socioeconomic groups,and geographical barriers.Understanding the details of the neurochemical basis of schizophrenia,factors that... Schizophrenia is a mental health disorder that occurs worldwide,cutting across cultures,socioeconomic groups,and geographical barriers.Understanding the details of the neurochemical basis of schizophrenia,factors that contribute to it and possible measures for intervention are areas of ongoing research.However,what has become more evident is the fact that in targeting the neurochemical imbalances that may underlie schizophrenia,the type of response seen with currently available phamacotherapeutic agents does not provide all the answers that are needed.Therefore,the possible contribution of non-pharmacological approaches to schizophrenia management is worthy of consideration.In recent times,research is beginning to show nutrition may play a possibly significant role in schizophrenia,affecting its development,progression and management;however,while attempts had been made to examine this possible relationship from different angles,articles addressing it from a holistic point of view are not common.In this review,we examine existing scientific literature dealing with the possible relationship between nutrition and schizophrenia,with a view to elucidating the impact of diet,nutritional deficiencies and excesses on the aetiology,progression,management and outcome of schizophrenia.Secondly,the effect of nutritional supplements in prevention,as sole therapy,or adjuncts in schizophrenia management are examined. 展开更多
关键词 Diet Brain Mental health nutritional psychiatry PSYCHOSIS Schizophrenia spectrum disorders
下载PDF
The Effects of Nutritional Interventions on Energy Metabolism
9
作者 Qian Tang Hai Ning Yu Sheng Rong Shen 《Journal of Nutritional Oncology》 2022年第3期120-127,共8页
Energy metabolism is vital to the body's metabolic processes.A key player in the production of ATP,mitochondria directly affect energy homeostasis.Mitochondrial dysfunction is the cause of many diseases.Many repor... Energy metabolism is vital to the body's metabolic processes.A key player in the production of ATP,mitochondria directly affect energy homeostasis.Mitochondrial dysfunction is the cause of many diseases.Many reports have suggested that nutritional interventions can play a protective role against the development of mitochondrial dysfunction or in ameliorating existing dysfunction,such as by improving energy metabolism.This review focuses on the impact of different nutritional interventions on energy metabolism. 展开更多
关键词 Energy metabolism Mitochondrial disorders nutritional interventions Oxidative stress Mitochondrial dysfunction
下载PDF
常克从风、火、痰、虚、瘀论治抽动障碍之经验
10
作者 张旭 孙媛 常克 《中国中西医结合儿科学》 2024年第3期261-264,共4页
抽动障碍发病率逐年升高,病情反复且常以多发性、共患病为其临床特点。儿童抽动障碍之病因病机,虽系于外感之所为,然本乎于风火痰虚瘀耳,其病因之杂,症状之变,非一脏之所为,常多涉及五脏。常克教授从风、火、痰、虚、瘀认识儿童抽动障碍... 抽动障碍发病率逐年升高,病情反复且常以多发性、共患病为其临床特点。儿童抽动障碍之病因病机,虽系于外感之所为,然本乎于风火痰虚瘀耳,其病因之杂,症状之变,非一脏之所为,常多涉及五脏。常克教授从风、火、痰、虚、瘀认识儿童抽动障碍,针对其病机之要,采用常用方及自拟方进行论治,临床疗效甚好,现将其治验总结如下,并附验案一则。 展开更多
关键词 抽动障碍 病因病机 治疗 儿童
下载PDF
基于破窗效应的干预模式对重型颅脑损伤术后患者营养状况及应激障碍程度的影响
11
作者 丁秀梅 王向蒙 +1 位作者 赵荻迪 张淑梅 《海南医学》 CAS 2024年第19期2861-2865,共5页
目的分析基于破窗效应的干预模式对重型颅脑损伤术后患者营养状况及应激障碍程度的影响。方法选取2022年1~12月河南科技大学第一附属医院重症医学科收治的184例重型颅脑损伤患者作为研究对象,依据随机数表法分为对照组和观察组各92例。... 目的分析基于破窗效应的干预模式对重型颅脑损伤术后患者营养状况及应激障碍程度的影响。方法选取2022年1~12月河南科技大学第一附属医院重症医学科收治的184例重型颅脑损伤患者作为研究对象,依据随机数表法分为对照组和观察组各92例。对照组患者采用常规护理,观察组患者在对照组的基础上联合基于破窗效应的干预模式,所有患者均护理至出院,并随访3个月。比较两组患者入院时及出院时的营养指标(白蛋白、总蛋白及血红蛋白)、格拉斯哥昏迷指数(GCS)、美国国立卫生研究院卒中量表(NIHSS)评分以及入院时及随访3个月时的创伤后应激障碍自评量表(社会功能损伤、警觉性增加、回避症状、反复重现体现、主观评定)评分,同时比较两组患者住院期间的并发症发生情况。结果入院时,两组患者的白蛋白、总蛋白及血红蛋白含量比较差异均无统计学意义(P>0.05);出院时,两组患者的白蛋白、总蛋白及血红蛋白含量均上升,且观察组患者的白蛋白、总蛋白及血红蛋白分别为(43.79±4.22)g/L、(69.03±5.73)g/L、(115.89±7.05)g/L,明显高于对照组的(39.17±4.60)g/L、(65.81±5.12)g/L、(108.74±6.44)g/L,差异均有统计学意义(P<0.05);入院时,两组患者的GCS、NIHSS评分比较差异均无统计学意义(P>0.05);出院时,两组患者的GCS评分均上升,NIHSS评分均下降,且观察组患者的GCS评分明显高于对照组,NIHSS评分明显低于对照组,差异均有统计学意义(P<0.05);入院时,两组患者的创伤后应激障碍自评量表中的各项评分比较差异均无统计学意义(P>0.05);随访3个月时,两组患者的创伤后应激障碍自评量表中的各项评分均下降,且观察组患者的社会功能损伤、警觉性增加、回避症状、反复重现体现、主观评定评分及总分分别为(2.31±0.34)分、(7.04±1.14)分、(10.11±1.26)分、(9.16±1.10)分、(1.28±0.15)分、(30.38±4.55)分,明显低于对照组的(3.42±0.46)分、(10.81±1.79)分、(14.08±1.39)分、(12.27±1.42)分、(2.24±0.26)分、(40.18±5.12)分,差异均有统计学意义(P<0.05);住院期间,观察组患者的并发症总发生率为11.96%,明显低于对照组的26.09%,差异有统计学意义(P<0.05)。结论基于破窗效应的干预模式能够改善重型颅脑损伤术后患者营养状况,减轻应激障碍和神经功能缺损程度,降低并发症风险,具有临床应用价值。 展开更多
关键词 重型颅脑损伤 破窗效应 营养状况 应激障碍程度 并发症
下载PDF
益生菌肠内营养支持联合经颅磁刺激在脑卒中后吞咽障碍康复中的应用
12
作者 张玉珍 于小明 +1 位作者 徐海辰 马双双 《中国实用神经疾病杂志》 2024年第3期351-355,共5页
目的探讨益生菌肠内营养支持联合经颅磁刺激在脑卒中后吞咽障碍康复中的临床应用效果。方法选取2019-01—2022-12上海中医药大学附属第七人民医院收治的98例脑卒中吞咽障碍患者,分为观察组和对照组各49例。对照组实施经颅磁刺激疗法+营... 目的探讨益生菌肠内营养支持联合经颅磁刺激在脑卒中后吞咽障碍康复中的临床应用效果。方法选取2019-01—2022-12上海中医药大学附属第七人民医院收治的98例脑卒中吞咽障碍患者,分为观察组和对照组各49例。对照组实施经颅磁刺激疗法+营养支持干预,观察组辅助应用益生菌肠内营养干预。对比2组间疗效、吞咽功能、营养健康状况、免疫功能、肠道屏障功能。结果观察组临床疗效优于对照组(P<0.05)。治疗后,观察组洼田饮水试验(KWST)、功能性吞咽障碍量表(FDS)、EAT-10评分均低于对照组(P<0.05),血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PAB)水平均高于对照组(P<0.05),免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)水平均高于对照组(P<0.05),ET、DAO、D-LA低于对照组(P<0.05)。结论益生菌肠内营养支持结合经颅磁刺激对脑卒中吞咽障碍有较好干预效果,能提高吞咽功能和营养水平,提升免疫水平,提高患者肠黏膜屏障功能。 展开更多
关键词 脑卒中 吞咽障碍 经颅磁刺激 益生菌 肠内营养 免疫功能 肠黏膜屏障功能
下载PDF
基于NRS2002 TEN和SJS患者的营养风险筛查
13
作者 戚国青 汤菊萍 《浙江临床医学》 2024年第2期178-180,共3页
目的基于欧洲营养风险筛查工具(NRS2002)对中毒性表皮坏死松解症(TEN)和Stevens-Johnson综合征(SJS)患者进行营养风险筛查,研究TEN和SJS患者营养风险的发生率,探讨此类患者发生营养风险的危险因素。方法回顾性调查2011年1月至2021年3月... 目的基于欧洲营养风险筛查工具(NRS2002)对中毒性表皮坏死松解症(TEN)和Stevens-Johnson综合征(SJS)患者进行营养风险筛查,研究TEN和SJS患者营养风险的发生率,探讨此类患者发生营养风险的危险因素。方法回顾性调查2011年1月至2021年3月在本院住院的临床资料完整的TEN和SJS患者215例,按受累皮肤的体表面积(BSA)予以区分TEN、SJS、SJS/TEN重叠综合征。同时基于NRS2002进行营养风险筛查评分,探讨TEN和SJS患者存在营养风险的危险因素。结果TEN和SJS患者入院时营养风险的发生率为64.19%(138/215)。其中,年龄(χ^(2)=7.198,P<0.01)、SCORTEN(χ^(2)=18.843,P<0.01)、致敏药物(χ^(2)=13.169,P<0.01)、皮损面积(χ^(2)=119.245,P<0.01)、黏膜受累部位(χ^(2)=8.241,P<0.01)对于TEN和SJS患者发生营养风险有统计学意义。多因素Logistic回归分析提示,年龄(OR=0.604,95%CI:0.472~0.973)、10%≤BSA≤30%(OR=4.638,95%CI:1.062-13.903)、BSA>30%(OR=6.128,95%CI:1.674~12.068)、黏膜受累部位为口腔黏膜(OR=5.978,95%CI:1.728~16.368)、血液净化治疗(OR=6.008,95%CI:1.316~22.175)是造成TEN和SJS患者营养风险的独立危险因素。结论大约2/3的TEN和SJS患者入院时即存在营养风险。而年龄、10%≤BSA≤30%、BSA>30%、黏膜受累部位为口腔黏膜、血液净化治疗则是造成TEN和SJS患者营养风险的独立危险因素。 展开更多
关键词 药疹 表皮坏死松解症 中毒性 STEVENS-JOHNSON综合征 营养评价 NRS2002评分 营养风险
下载PDF
间歇经口至食管管饲法联合自创吞咽功能训练在脑卒中吞咽障碍患者的应用研究
14
作者 闫冰 杜雅芳 +1 位作者 张欢欢 刘洁 《广州医药》 2024年第6期670-675,共6页
目的探讨间歇经口至食管管饲法与自创吞咽功能训练联合应用于脑卒中吞咽障碍患者的效果。方法选取河南大学淮河医院2022年1月—2023年12月收治的50例脑卒中吞咽障碍患者,应用随机数字表法将其分为两组,每组各25例。对照组采取持续留置... 目的探讨间歇经口至食管管饲法与自创吞咽功能训练联合应用于脑卒中吞咽障碍患者的效果。方法选取河南大学淮河医院2022年1月—2023年12月收治的50例脑卒中吞咽障碍患者,应用随机数字表法将其分为两组,每组各25例。对照组采取持续留置鼻饲的同时应用自创吞咽功能训练进行训练,观察组采取间歇经口至食管管饲的同时应用自创吞咽功能训练进行训练。对比两组吞咽障碍改善情况、干预前后营养状况指标及生活质量变化,比较两组并发症发生率。结果观察组总有效率高于对照组(P<0.05)。干预后两组血清总蛋白、白蛋白和血红蛋白水平和体质量指数均升高,观察组高于对照组(P<0.05)。干预后两组生活质量综合评定量表评分升高,观察组高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论对脑卒中吞咽功能障碍患者采取间歇经口至食管管饲法与自创吞咽功能训练,能够更有效改善患者吞咽功能,提升其生活质量,且可降低留置饲管营养支持过程中的并发症发生率。 展开更多
关键词 间歇经口至食管管饲法 吞咽功能训练 脑卒中 吞咽障碍 营养水平 生活质量 并发症
下载PDF
炎症性肠病患者营养障碍的研究 被引量:1
15
作者 张文玉 马贤纵 +2 位作者 谢惠 肖倩 季美华 《胃肠病学和肝病学杂志》 CAS 2024年第6期641-645,共5页
炎症性肠病(inflammatory bowel disease,IBD)是一组累及消化道的慢性非特异性炎症疾病,主要包括克罗恩病(Crohn′s disease,CD)和溃疡性结肠炎(ulcerative colitis,UC)。近年,我国IBD发病率呈现上升趋势,疾病负担沉重。营养障碍在IBD... 炎症性肠病(inflammatory bowel disease,IBD)是一组累及消化道的慢性非特异性炎症疾病,主要包括克罗恩病(Crohn′s disease,CD)和溃疡性结肠炎(ulcerative colitis,UC)。近年,我国IBD发病率呈现上升趋势,疾病负担沉重。营养障碍在IBD患者中十分普遍且是影响患者疗效及预后的重要因素之一。因此,及早有效地识别和诊断IBD患者中的营养障碍,并开展有效的临床干预,是当前IBD诊治的重要课题。本文就IBD患者营养障碍相关研究进行概述,以期促进IBD患者相关营养障碍的防治、评估和护理。 展开更多
关键词 炎症性肠病 营养障碍 营养不良 营养风险评估
下载PDF
Genetic pathways in cerebral palsy:a review of the implications for precision diagnosis and understanding disease mechanisms 被引量:1
16
作者 Yiran Xu Yifei Li +2 位作者 Seidu A.Richard Yanyan Sun Changlian Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1499-1508,共10页
Ce rebral palsy is a diagnostic term utilized to describe a group of permanent disorders affecting movement and posture.Patients with cerebral palsy are often only capable of limited activity,resulting from non-progre... Ce rebral palsy is a diagnostic term utilized to describe a group of permanent disorders affecting movement and posture.Patients with cerebral palsy are often only capable of limited activity,resulting from non-progressive disturbances in the fetal or neonatal brain.These disturbances severely impact the child’s daily life and impose a substantial economic burden on the family.Although cerebral palsy encompasses various brain injuries leading to similar clinical outcomes,the unde rstanding of its etiological pathways remains incomplete owing to its complexity and heterogeneity.This review aims to summarize the current knowledge on the genetic factors influencing cerebral palsy development.It is now widely acknowledged that genetic mutations and alterations play a pivotal role in cerebral palsy development,which can be further influenced by environmental fa ctors.Des pite continuous research endeavors,the underlying fa ctors contributing to cerebral palsy remain are still elusive.However,significant progress has been made in genetic research that has markedly enhanced our comprehension of the genetic factors underlying cerebral palsy development.Moreove r,these genetic factors have been categorized based on the identified gene mutations in patients through clinical genotyping,including thrombosis,angiogenesis,mitochondrial and oxidative phosphorylation function,neuronal migration,and cellular autophagy.Furthermore,exploring targeted genotypes holds potential for precision treatment.In conclusion,advancements in genetic research have substantially improved our understanding of the genetic causes underlying cerebral palsy.These breakthroughs have the potential to pave the way for new treatments and therapies,consequently shaping the future of cerebral palsy research and its clinical management.The investigation of cerebral palsy genetics holds the potential to significantly advance treatments and management strategies.By elucidating the underlying cellular mechanisms,we can develop to rgeted interventions to optimize outcomes.A continued collaboration between researchers and clinicians is imperative to comprehensively unravel the intricate genetic etiology of cerebral palsy. 展开更多
关键词 cerebral palsy environmental factors etiology genetic factors genetic mutation movement disorder spastic diplegia
下载PDF
中医药治疗儿童抽动障碍的研究进展 被引量:1
17
作者 郭莹 郭亦男 《中医临床研究》 2024年第12期138-144,共7页
近年来,儿童抽动障碍的发病率呈现出明显增加的趋势。这种疾病一旦发生,反复发作且治愈困难,给患儿和家庭带来了巨大的负担。文章总结了该病的病因病机与体质虚弱、肝肾不足、心脾失调等因素密切相关,并从内与外两个方面总结了中医药治... 近年来,儿童抽动障碍的发病率呈现出明显增加的趋势。这种疾病一旦发生,反复发作且治愈困难,给患儿和家庭带来了巨大的负担。文章总结了该病的病因病机与体质虚弱、肝肾不足、心脾失调等因素密切相关,并从内与外两个方面总结了中医药治疗儿童抽动障碍的具体方法。内治法主要包括中药内服和针灸等内部调理措施,外治法则注重外部刺激和调理,如推拿按摩、艾灸等手段,通过调整体内阴阳平衡和气血流通达到治疗儿童抽动障碍的目的。现代医学在治疗这种疾病方面方法单一,往往存在明显的不良反应。与此相比,中医药治疗儿童抽动障碍具有方法丰富、不良反应小和临床疗效明显等诸多优势。文章还分析了影响儿童抽动障碍治疗效果的因素。除了个体差异和病情严重程度外,家庭环境、教育方式等因素也对治疗产生一定的影响。因此,在治疗过程中,除了医生的专业治疗外,家长和学校的积极配合也是非常重要的。综上所述,中医药治疗儿童抽动障碍具有明显的优势。文章对相关文献进行总结和分析,为临床诊疗提供参考和借鉴。未来的研究和实践需要进一步深入,以探索更有效的治疗方法,改善儿童抽动障碍的预后效果,为患儿健康成长提供更好的支持和帮助。 展开更多
关键词 中医 儿童抽动障碍 病因病机 辨证论治 综述
下载PDF
基于功能性经口摄食分级的吞咽管理对高龄吞咽障碍病人的影响
18
作者 童露露 娄玲娣 +3 位作者 骆芳 过秀秀 欧阳瑶 何炼英 《护理研究》 北大核心 2024年第2期354-359,共6页
目的:探讨基于功能性经口摄食分级的吞咽管理对高龄吞咽障碍病人的影响。方法:选取2022年1月—7月入住某三级甲等医院老年病科的高龄病人80例作为研究对象,由电脑产生随机序号对病人进行随机分组,对照组和干预组各40例。对照组采用常规... 目的:探讨基于功能性经口摄食分级的吞咽管理对高龄吞咽障碍病人的影响。方法:选取2022年1月—7月入住某三级甲等医院老年病科的高龄病人80例作为研究对象,由电脑产生随机序号对病人进行随机分组,对照组和干预组各40例。对照组采用常规治疗和护理方法,干预组实施基于功能性经口摄食分级的吞咽管理。比较两组病人吞咽功能康复疗效、营养状况、吞咽相关生活质量、鼻胃管留置率、吸入性肺炎发生率。结果:干预8周后,干预组病人吞咽功能康复疗效优于对照组;血清白蛋白为(39.24±1.89)g/L,血清前白蛋白为(0.24±0.03)g/L,均高于对照组[血清白蛋白为(37.65±1.82)g/L,血清前白蛋白为(0.21±0.03)g/L];吞咽相关生活质量得分为(144.90±5.87)分,高于对照组[(139.20±5.35)分];鼻胃管留置率为37.5%,吸入性肺炎发生率为5.0%,均低于对照组(鼻胃管留置率为67.5%,吸入性肺炎发生率为20.0%),差异均有统计学意义(P<0.05)。结论:对高龄吞咽障碍病人实施基于功能性经口摄食分级的吞咽管理,有利于病人吞咽功能恢复,改善其营养状况,降低病人鼻胃管留置率及吸入性肺炎发生率,提高病人的吞咽相关生活质量。 展开更多
关键词 功能性经口摄食 高龄 老年人 吞咽障碍 营养 生活质量 护理
下载PDF
广泛性焦虑症的中医研究进展
19
作者 李文慧 朱陵群 +2 位作者 罗玮伯 陈燚 郭蓉娟 《环球中医药》 CAS 2024年第8期1685-1690,共6页
广泛性焦虑症中是临床中最常见的焦虑障碍之一,严重威胁患者的身心健康和生活质量。“郁证”是广泛性焦虑症研究较多且较为公认的病名,根据其病因病机、临床表现等,古代文献记载的“心悸”“百合病”“脏躁”等均与之密切相关。本病常... 广泛性焦虑症中是临床中最常见的焦虑障碍之一,严重威胁患者的身心健康和生活质量。“郁证”是广泛性焦虑症研究较多且较为公认的病名,根据其病因病机、临床表现等,古代文献记载的“心悸”“百合病”“脏躁”等均与之密切相关。本病常因素体正虚,复为七情所伤所致,病位在脑,涉及肝、心、脾,基本病机为肝气不疏,气机郁滞,郁而化火,耗伤阴血,血不养心,心神不宁。肝郁化火、痰火上扰、心脾两虚、心胆气虚、心肾不交等是其常见证型,中医治疗注重辨证论治,多采用经典方、经验方等中药治疗,结合针刺、推拿、八段锦等非药物疗法形神并调,能明显改善焦虑情绪,特别是增效减毒,提升患者生活质量。 展开更多
关键词 广泛性焦虑症 中医药 研究进展 病因病机 郁证 情志病 非药物疗法
下载PDF
基于刘完素“火热论”探析“热-风”病因树在治疗抽动障碍中的应用
20
作者 牛天野 白晓红 +2 位作者 解文晋 修婵 张圣崎 《中医临床研究》 2024年第19期27-31,共5页
抽动障碍是起病于儿童或青少年时期的一种神经精神障碍性疾病,以不自主、反复、突发、快速、重复、无节律性的一个或多个部位运动抽动和发声抽动为主要特征,亦可共患一种或多种心理行为障碍,但智力一般不受影响。研究以刘完素创立的河... 抽动障碍是起病于儿童或青少年时期的一种神经精神障碍性疾病,以不自主、反复、突发、快速、重复、无节律性的一个或多个部位运动抽动和发声抽动为主要特征,亦可共患一种或多种心理行为障碍,但智力一般不受影响。研究以刘完素创立的河间流派“火热论”观点为纲领,以小儿抽动障碍的临床特征为基础,提出儿童在外感六淫、饮食调护、情志内伤、先天禀赋等因素作用下,阴阳失衡,五脏失调,肝木之气郁结,郁久而化热,热极则生风;脾土失健,难化水湿,聚而成痰,痰热胶结,引动肝风;血液受热煎熬,化为瘀血,瘀、热互结;热久伤阴,使得阳亢而风动。“热”为本病的发病始动因素,“风”为本病的发病续动因素,且与痰、火、瘀、虚等病理要素紧密相干,提出建立“热-风”病因树模型,热为“热-风”病因树之根蒂,痰、瘀、虚为“热-风”病因树之叶、枝、蔓,风则为“热-风”病因树之果。以此模型来探析抽动障碍的病因机制,确定疾病发展阶段,防治小儿抽动障碍。在确定治疗原则上以河间流派“火热论”为指导,治以伐根摘叶之清热化痰,削其结果之息风止痉,平其枝蔓之滋水涵木等,提供治疗此病的新思路,并可从其中探寻完善和高效的论治方法和临床研究方向,为患儿带来福祉。 展开更多
关键词 抽动障碍 病因树 火热论
下载PDF
上一页 1 2 32 下一页 到第
使用帮助 返回顶部