商品匀浆膳对老年鼻饲患者营养状况的影响

目的：观察商品匀浆膳对老年长期鼻饲患者营养状况的影响。方法：选自我院卒中科和痴呆科鼻饲患者27例,采用商品匀浆膳喂养,观察时间为6个月。营养支持前及支持后每月进行1次人体测量,收集三头肌皮褶厚度（TSF）和上臂围（MAC）,检测生化指标血红蛋白（HB）,血清总蛋白（TP）,血清白蛋白（ALB）,前白蛋白（PAB）,三酰甘油（TG）,胆固醇（TC）,血清钠（Na）、钾（K）、钙（Ca）、磷（P）等,营养支持后共测量6个时间点,取其平均值,比较营养治疗前后的差异。结果：27例患者发生肺部感染2例次,出现腹胀1例次、腹泻1例次,未影响继续肠内营养,营养支持前后Na、K、Ca及P差异均无统计学意义（P〉0.05）,但TSF、上臂肌围（MAMC）、HB、TP、ALB、PAB、TC、TG差异均有统计学意义（P〈0.05）。结论：商品匀浆膳是老年鼻饲患者长期肠内营养支持比较理想的一种选择。

Effect of commercial blenderized diet on nutritional state in tube feeding elderly patients

Objective： To investigate the effect of commercial blenderized diet on nutritional state in tube feeding elderly patients. Methods： Twenty-seven tube feeding patients from Beijing Geriatric Hospital were chosen, commercial blenderized diets were provided for six months. Triceps skinfolds（ TSF）,midarm circumference（ MAC） were measured every month. The serum levels of hemoglobin（ HB）,total protein（ TP）,albumin（ ALB）,prealbumin（ PAB）,triglyceride（ TG）,cholesterol（ TC）,calcium（ Ca）,phosphorus（ P）,natrium（ Na）,kalium（ K） were recorded every month. Results： After nutritional support,there were significant differences in TSF,MAMC,HB, TP,ALB,PAB,TC and TG（ P〈0. 05）,there were no differences in Na,K,Ca and P（ P〈0. 05）. Conclusion： Commercial blenderized diet can support the tube feeding elderly patients.