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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Objective: This study aimed to investigate the difference in micronutrient levels between oral feeding and enteralfeeding in chronic stroke patients to assess the risks of enteral feeding. Methods: Patients with chronic stroke who were admitted to the Department of Rehabilitation Medicine betweenJanuary 2011 and June 2012 were enrolled. The serum concentrations of iron, copper, zinc, folate, and vitamin B12,as well as the absolute CD4 and CD8 lymphocyte counts, were assessed. Results: Of the 73 patients enrolled in this study, 50 were fed orally, while the other 23 were fed through a percutaneousendoscopic gastrostomy (PEG) or nasogastric (NG) tube. The serum concentrations of vitamin B12 and folatewere significantly higher in the enteral feeding group than in the oral feeding group. However, the serum concentrationof zinc was significantly lower in the enteral feeding group. Conclusion: There is little difference between enteral feeding and oral feeding in terms of micronutrient provisionexcept that the serum concentration of zinc in the enteral feeding group was significantly lower than that in the oralfeeding group. Clinicians should recognize that chronic stroke patients who require tube feeding have a risk ofmicronutrient deficiency. Early detection of malnutrition and micronutrient deficiency is important for providing thenecessary nutrients.
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참고문헌 (24)
참고문헌 신청
Dominioni L / 1987 / Immunological function and nutritional assessment / JPEN J Parenter Enteral Nutr 11:70S~72S
Sullivan DH / 1990 / Impact of nutrition status on morbidity and mortality in a select population of geriatric rehabilitation patients / Am J Clin Nutr 51:749~758
Gariballa SE / 1998 / Influence of nutritional status on clinical outcome after acute stroke / Am J Clin Nutr 68:275~281
Yoo SH / 2008 / Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients / Arch Neurol 65:39~43
Gariballa SE / 1998 / A randomized, controlled, a single-blind trial of nutritional supplementation after acute stroke / JPEN J Parenter Enteral Nutr 22:315~319
Sullivan DH / 1990 / Impact of nutrition status on morbidity and mortality in a select population of geriatric rehabilitation patients / Am J Clin Nutr 51:749~758
Gariballa SE / 1998 / Influence of nutritional status on clinical outcome after acute stroke / Am J Clin Nutr 68:275~281
Yoo SH / 2008 / Undernutrition as a predictor of poor clinical outcomes in acute ischemic stroke patients / Arch Neurol 65:39~43
Gariballa SE / 1998 / A randomized, controlled, a single-blind trial of nutritional supplementation after acute stroke / JPEN J Parenter Enteral Nutr 22:315~319
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