MALNUTRITION, TUBE-FEEDING AND PRESSURE SORES - DATA ARE INCOMPLETE
MALNUTRITION, TUBE-FEEDING AND PRESSURE SORES - DATA ARE INCOMPLETE
复制标题
DOI：
10.1111/j.1532-5415.1995.tb05822.x
复制
发表时间：
1995-04-01
影响因子：
6.3
通讯作者：
FINUCANE, TE
中科院分区：
文献类型：
--
作者：
FINUCANE, TE
目的：回顾有关压疮与(1)之间关系的资料。资料来源：Medline检索从1985年到1994年8月“褥疮”与“压疮”相关的术语。1994年6月《Decubitus》杂志（现为《创面洞穴进展》）和1987年1月至1994年5 - 6月《肠外和肠内营养》杂志的所有期刊。回顾相关文章的参考书目。一个专家的小调查。研究选择：对标题、医学术语或摘要提示研究营养与压疮之间关系的文章以及专家建议的文章进行审查。资料提取：研究设计不同。结果简单地制成表格。结果：在7项研究中，低血清白蛋白与压疮的发展或存在相关；而在五年内，情况并非如此。大多数营养状况测量与压疮结果无关。在七项研究中，有四项研究发现营养摄入不良与压疮预后不良有关。在一项研究中，管饲与压疮的存在呈正相关。特殊营养支持在一秒钟内对改善压疮结果无效。两项研究表明，接受高蛋白配方的患者愈合更好：一项研究中，所有患者都接受管饲；在另一种情况下，喂食途径没有说明。结论：关于营养不良与褥疮关系的资料不完整且矛盾。尚无随机试验将管饲作为预防或治疗压疮的方法。常规使用管饲预防或治疗压疮没有明确的数据支持。
PURPOSE: To review data about the relationship between pressure sores and (1)DATA SOURCES: Medline search of terms associated with ''decubitus ulcer'' combined with terms associated with ''pressure sore'' from 1985 through August 1994. Hand review of all issues of the journal Decubitus (now Advances in Wound Cave) through June 1994 and the Journal of Parenteral and Enteral Nutrition from January 1987 through May-June 1994. Review of bibliography of pertinent articles. A small survey of experts.STUDY SELECTION: Articles where the title, Me SH terms, or abstract suggested an examination of the relationship between nutrition and pressure sores, and those suggested by the experts, were reviewed.DATA EXTRACTION: Study designs were disparate. Results were simply tabulated.RESULTS: In seven studies, low serum albumin was associated with development or presence of pressure sores; in five it was not. Most measures of nutritional status were not associated with pressure sore outcomes. Poor nutritional intake was associated with poor pressure sore outcome in four of seven studies. Tube feeding was positively associated with presence of pressure sores in one study. Special nutrition support was ineffective in improving pressure sore outcome in a second. Two studies showed better healing in patients receiving high-protein formula: in one, all patients were tube fed; in the other, route of feeding was not stated.CONCLUSION: Data about the relationship between malnutrition and pressure sores are incomplete and contradictory. No randomized trials of tube feeding as prevention or treatment of pressure sores has been done. Routine use of tube feeding to prevent or treat pressure sores is not clearly supported by data.