【摘要】 目的观察自制匀浆膳对管饲患者营养支持的临床效果。方法选择65例神经内外科的昏迷患者,采用匀浆膳食进行营养支持治疗。监测使用前后淋巴细胞总数、血红蛋白、血清清蛋白、前清蛋白和肱三头肌皮皱厚度、臂围、臂肌围等,并统计使用费用。结果本组患者平均使用匀浆膳时间为(19.2±19.9)d,提供的热卡平均为(1347.1±232.2)kCal,所耗费用为(64.9±10.8)元,与同类商品化肠内营养制剂相比,在提供等热卡的情况下可节省费用30元。所有患者无严重胃肠道不良反应。患者的营养状况在第14天明显改善,淋巴细胞总数、血清蛋白、血清前清蛋白较治疗前均有明显提高,使用前后肝肾功能无异常。结论匀浆膳是管饲患者营养支持的一种较理想的制剂,可降低患者同类营养支持费用,并能有效保证患者的营养需要。更多还原

【Abstract】 Objective To observe the effect of home-made homogenate meals nutritional support in tube feeding patients.MethodsSixty-five comatose inpatients of department of neurology medico-chirurgical were fed with home-made homogenate meals per naso-gastric tube.The total lymphocyte count,hemoglobin,serum albumin,prealbum and triceps skinfold thickness,mild arm circumference and arm muscle circumference were measured.The cost of nutrition liquid were analysed.Results The average time of usage home-made homogenate meals was(19.2±19.9)days,the average calore was(1347.1±232.2)kCal,the average cost was $(64.9±10.8),less $30 than the same kind of commercialization nutrition product.No severe adverse effects in gastrointestinal,The states of nutrition in 14th(such as lymph cells,hemoglobin,serum levels of albumin,pre-album)were improved significantly after home-made homogenate meals,no any adverse in liver and renal function.Conclusion The homoe-mate homogenate meals can support the comatose patients effectively and lower the cost.更多还原