High protein intake after subarachnoid hemorrhage improves oral intake and temporal muscle volume
High protein intake after subarachnoid hemorrhage improves oral intake and temporal muscle volume
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DOI：
10.1016/j.clnu.2021.01.040
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发表时间：
2021-06-01
影响因子：
6.3
通讯作者：
Sakakibara, Yohtaro
中科院分区：
文献类型：
--
作者：
Onodera, Hidetaka;Mogamiya, Takuma;Sakakibara, Yohtaro
背景与目的：吞咽困难是卒中后常见的后遗症。蛛网膜下腔出血（SAH）患者常发生颞肌萎缩，但其临床意义尚不清楚。本研究旨在探讨颞肌体积（TMV）是否与SAH患者随后的口服摄入量有关，并评估颞肌萎缩的预测因素。方法：回顾性分析2009年至2019年在单一中心急性住院期接受肠内营养的60例SAH患者。从计算机断层扫描图像中自动分割TMV，并在入院时和第2周测量。颞下颌关节面积减少20%的患者被分为萎缩组（n = 24）和萎缩组（n = 24）
Background & aims: Dysphagia is a common sequela following stroke. Patients with subarachnoid hemorrhage (SAH) often develop atrophy of the temporal muscle, but its clinical significance remains unclear. This study aimed to investigate whether temporal muscle volume (TMV) is related to subsequent oral intake in patients with SAH and evaluate the predictors of temporal muscle atrophy. Methods: We performed a retrospective analysis of 60 SAH patients receiving enteral nutrition in the acute hospitalization phase at a single center between 2009 and 2019. The TMV was segmented automatically from computed tomography images and measured on admission and at week 2. Patients with a >20% TMV reduction were assigned to the atrophy group (n = 24) and those with a