Malnutrition in patients with acute stroke.
Malnutrition in patients with acute stroke.
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DOI：
10.1155/2011/167898
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发表时间：
2011
影响因子：
2.2
通讯作者：
Tziomalos K
中科院分区：
文献类型：
--
作者：
Bouziana SD;Tziomalos K
中风是一种毁灭性的事件，有可能导致长期残疾。营养不良是经常观察到的中风患者，吞咽困难有助于营养不良的风险。在中风急性期和康复期间，在多学科团队努力的背景下进行特定的营养干预可以促进神经认知功能的恢复。应更加重视营养不良的早期发现和管理，通过调整饮食或采取具体的治疗策略，以确保足够的营养摄入，因为营养状况不良似乎会加剧脑损伤，并导致不良后果。营养干预的主要目的应是预防或治疗因能量-蛋白质缺乏引起的并发症。本文综述了脑卒中患者营养不良的评估和管理以及专门营养支持的使用。重点是给予肠道管和口服喂养和战略断奶管喂养。
Stroke is a devastating event that carries a potential for long-term disability. Malnutrition is frequently observed in patients with stroke, and dysphagia contributes to malnutrition risk. During both the acute phase of stroke and rehabilitation, specific nutritional interventions in the context of a multidisciplinary team effort can enhance the recovery of neurocognitive function. Early identification and management of malnutrition with dietary modifications or specific therapeutic strategies to ensure adequate nutritional intake should receive more attention, since poor nutritional status appears to exacerbate brain damage and to contribute to adverse outcome. The main purpose of nutritional intervention should be the prevention or treatment of complications resulting from energy-protein deficit. This paper reviews the evaluation and management of malnutrition and the use of specialized nutrition support in patients with stroke. Emphasis is given to enteral tube and oral feeding and to strategies to wean from tube feeding.