文档介绍:神经重症疾病合并低蛋白血症的治疗
神经重症疾病营养支持
神经重症疾病合并低蛋白血症的危害
神经重症疾病合并低蛋白血症的发生原因
神经重症疾病合并低蛋白血症的治疗方法
何实施营养支持
急性中风患者营养不良研究
FOOD TrialCollaboration Poor Nutritional Status on Admission Predicts Poor Outcomes After Stroke Observational Data From the FOOD TrialStroke. 2003;34:1450-1456.)
营养不良对预后的影响
Dennis M. Nutrition after stroke. Br Med Bull, 2000, 56: 466一475
Salah E Gariballa, Stuart G Parker, Nick Taub, and C Mark Castleden. Influence of nutritional status on clinical outcome after acute Stroke. Am J Clin Nutr 1998;68:275–81.
Stroke patients with serum albumin concentrations ≤34 g/L during hospitalization had a greater risk of dying within the first 3 mo after the stroke than those with serum albumin concentrations ≥35 g/L.
低蛋白血症的预后
低白蛋白血症或低前白蛋白血症通常伴随营养不良、功能残疾、预后不良。
加重急性期神经功能缺损程度
增加内科并发症:感染、消化道出血、腹泻等
卒中后恢复期(出院后3个月)死亡率的
重要独立预测指标
Johnnson AC,et al;Stroke 2008,39:918-923