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초급성기 중증 뇌 손상 환자의 영양 상태 변화양상과 인공영양 전.후의 영양 상태에 대한 비교

 Changing Pattern and Comparison of Nutritional States before and after Nasogastric Tube Feeding for the Severe Brain Injury Patients in Critical Period

성인간호학회지 2008년 20권 1호 p.44 ~ 54
KMID : 0367020080200010044
박종숙 ( Park Jong-Suk ) - 인하대학교병원 외과계 집중치료실

오현수 ( Oh Hyun-Soo ) - 인하대학교 간호학과
서화숙 ( Seo Wha-Sook ) - 인하대학교 간호학과
서연옥 ( Suh Yeon-Ok ) - 순천향대학교 간호학과

Abstract

Purpose: The purpose of the study were to examine the nutritional status of severe brain injury adult patients in critical period, and to compare the nutritional states before and after tube feeding.

Methods: Data from 19 patients admitted to the SICU in a university hospital due to severe brain injury were analyzed. Nutritional states were measured by anthropometric and blood biochemical indicators.

Results: MAC and MAMC were significantly decreased only at 7 days after admission compared with those on the day of admission. TSF was significantly decreased from 7 days to 14 days after admission. Fat rate was significantly decreased from 3 days to 14 days after admission. Hb was significantly decreased only at 3 days after admission. Albumin was significantly decreased from 3 days to 14 days after admission. However, lymphocyte was significantly increased at 14 days after admission. TSF and Albumin became significantly worse even after initiating tube feeding.

Conclusions: Nutritional status of severe brain injury patients in SICU became worse after admission whichever indicators were adopted to evaluate nutritional status, anthropometric or blood biochemical indicators, and became worse even after initiating tube feeding.
KeyWords
뇌손상, 영양사정, 비위관 영양
Brain injuries, Nutrition assessment, Enteral nutrition
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학술진흥재단(KCI) KoreaMed