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رکورد قبلیرکورد بعدی
نوع مدرک : TF
زبان مدرک : فارسی
شماره رکورد : 66983
شماره مدرک : ‭پ۵۳۴۸۰‬
شماره راهنما : ‭آ۳۸۶‬
سر شناسه : کاظمی، مریم
عنوان اصلي : بررسی مقایسه ای نتایج بالینی بر اساس وضعیت تغذیه ای با کنترل انرژی دریافتی به دو روش کالری محدود و کالری کامل در بیماران ترومایی با تغذیه روده ای در هفته اول بستری در بخش مراقبت های ویژه
نام عام مواد : [پایان‌نامه]
نام نخستين پديدآور : /مریم کاظمی
نام ساير پديدآوران : ؛استاد راهنما: عبدالرضا نوروزی، فریبرز ثمینی
نام ساير پديدآوران : ؛استاد مشاور: محسن نعمتی، علی بیرجندی نژاد
عنوان ديگر : عنوان به انگلیسی‭Comparative Clinical Outcomes and Nutritional Status in Hypocaloric vs. Fullcaloric Enteral Feeding Trauma Patients during the First Week of Hospitalization in Intensive Care Unit :‬
وضعيت نشر : دانشگاه علوم پزشکی مشهد، ‭۱۳۹۱‬، دانشکده پزشکی
صفحه شمار : ‮‭[۱۳۰]‬ ص.‬: مصور
يادداشت : چکیده فارسی، چکیده انگلیسی
يادداشت : چاپی
خلاصه يا چکيده : ‭blind randomized controlled clinical trial. Enteral feeding was administered via identical formula in the first 48 hours of admission to either Fullcaloric feeding or Hypocaloric feeding groups (initiation caloric goal: 90100 vs. 4050 of calculated requirement respectively). All patients received 100 of required energy until day 7 of intervention and thereafter. Clinical outcomes and metabolic factors were evaluated in groups.Results: The Fullcalorie group had significantly more gastrointestinal intolerance (5/2-Background: Nutritional support is s an essential part of intensive care unit management to maintain and improve organ function and prevent muscle loss especially during the early days of admission; However, the appropriate calorie intake for critically ill patients remains unclear. The purpose of this study was to assess the appropriate amount of energy in ICU admitted trauma patients during the first week of hospitalization to reduce morbidity and mortality.Method: A number of 60 adult head trauma patients randomly assigned to a double‬▒‭3 vs. 1/4‬▒‭2 days, P<0/001) than Hypocaloric group; There was no significant difference in the number of NPO days (P=0/06); However a trend toward an increase in NPO days was observed in Fullcaloric group (1/1‬ ▒‭1 vs. 0/6‬▒‭1 days). Hypocaloric group showed a better metabolic tolerance; Increased liver enzymes, AST (55/4‬▒‭31 vs. 133/7‬▒‭38 mg/dl, P=0/01) and ALT (56/1‬ ▒‭31 vs. 116/6‬▒‭72 mg/ dl, P= 0/007) was less in Hypocaloric group after intervention. The incidence of hyperglycemia (199/5‬▒‭66 vs 123/3‬▒‭34 mg/dl, P=0/01), length of hospital stay (35/6‬ ▒‭25 vs 19/9‬▒‭11 days, P=0/03) and days of mechanical ventilation (17/9‬▒‭21 vs. 4/7‬▒‭4, P =0/03) was higher in the Fullcaloric group. There was no statistically significant difference in mortality between groups (P >0/05).Conclusion: The study suggests that Hypocaloric Enteral feeding may be associated to improved metabolic and gastrointestinal tolerance and to reduce the length of hospital stay and ventilator dependence. Hence, Hypocaloric feeding might be considered the better approach to feed critically ill hospitalized patients in ICU during the first week of admission.‬
 
 
 
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