Khả năng đáp ứng các mục tiêu dinh dưỡng khi sử dụng công thức đường ruột giàu peptide ở người bệnh nuôi dưỡng qua ống thông=Ability to meet enteral nutritional needs with a peptide-rich formula in patient’s feeding tube

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Kim Anh Đặng, Thị Hương Lê, Huy Bình Nguyễn, Thành Tiến Nguyễn, Thị Hiền Nguyễn, Thị Hương Lan Nguyễn, Minh Anh Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.41-48

Bộ sưu tập: Metadata

ID: 477492

Thêm vào giỏ

Đánh giá khả năng đáp ứng các mục tiêu dinh dưỡng và khả năng dung nạp khi sử dụng công thức đường ruột giàu peptide. Đối tượng và phương pháp nghiên cứu: Nghiên cứu bán thực nghiệm tiến hành trên 72 người bệnh chia thành 2 nhóm: nhóm can thiệp (CT) và nhóm chứng nuôi dưỡng qua ống thông điều trị tại khoa Hồi sức tích cực – chống độc từ tháng 10/2022 đến tháng 4/2023. Đánh giá đặc điểm lâm sàng, khẩu phần ăn và các biến cố bất lợi có liên quan đến tiêu hoá của người bệnh tại 3 thời điểm lúc vào viện, sau 5 ngày và 10 ngày bắt đầu nuôi dưỡng. Kết quả: Sau 10 ngày nuôi dưỡng, ở nhóm CT, năng lượng trung bình (TB) tăng từ 1254,3kcal/ngày lên 1605,1kcal/ngày (đạt 120.8% so với nhu cầu khuyến nghị - NCKN), protein TB tăng từ 0,71g/kg/ ngày lên 1,45g/kg/ngày (đạt 111,9% so với NCKN). Cùng thời điểm ở nhóm chứng, năng lượng ăn vào đạt 107,0% so với NCKN và protein đạt 79,8% so với NCKN. Tỷ lệ người bệnh đi ngoài phân lỏng trên 3 lần/ngày giảm từ 22,2% xuống 5,6% ở nhóm CT và giảm từ 30,6% xuống 25,0% ở nhóm chứng. Kết luận: Sử dụng công thức nuôi dưỡng đường ruột giàu peptide có khả năng đạt mục tiêu năng lượng và protein theo nhu cầu khuyến nghị nhanh hơn.To evaluate the ability to meet enteral nutritional needs and tolerability using a peptiderich formula. Subject and method: A randomized controlled intervention study was conducted on 72 patients divided into intervention group and control goup receiving tube feeding treatment at the Intensive Care - Poison Control Department from October 2022 to April 2023. Evaluate the patient’s clinical characteristics, diet, and adverse events related to digestion of patients 3 times during hospital stay after 5 days and 10 days of starting nutrition. Results: After 10 days of feeding, in the intervention group, average energy intake increased from 1254,3kcal/day to 1605,1kcal/day (reaching 120,8% recommended dietary allowance – RDA) average protein intake increased from 0,71g/kg/day to 1,45g/kg/day (reaching 111,9% RDA). At the same time in the control group, energy intake reached 107,0% RDA and protein reached 79,8% RDA. The proportion of patients with loose stools over 3 times/day decreased both in intervention group (from 22,2% to 5,6%) and control group (from 30,6% to 25,0%) Conclusion: Using a peptide-enrich enteral nutrition formula is proper for achieving recommended energy and protein needs more quickly.

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