电邮这篇文章 Nutritive rehabilitation of the patients after recovering from coma
- 作者: Petrova M.V.1,2, Shestopalov A.E.1,3, Yakovleva A.V.4, Krylov K.Y.1, Mengistu E.M.2
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隶属关系:
- Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology"
- Peoples Friendship University of Russia
- Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
- Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology
- 期: 卷 2, 编号 1 (2020)
- 页面: 28-37
- 栏目: ORIGINAL STUDY ARTICLE
- URL: https://ogarev-online.ru/2658-6843/article/view/21185
- DOI: https://doi.org/10.36425/rehab21185
- ID: 21185
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Background. Along with the measures to restore the basic body functions and prevent secondary brain injury, one of the key areas of modern rehabilitation is nutritional and metabolic support.
Aims: to improve the results of the treatment of the patients by optimizing the system of nutritional and metabolic rehabilitation using enteral, parenteral, combined parenteral-enteral nutrition methods, who are undergoing rehabilitation after recovering from Coma resulting from injuries and diseases of the central nervous system.
Methods. In a prospective cohort study, the results of the study and complex treatment of 113 patients after recovering from Coma as a result of brain injury of various etiologies who were undergoing rehabilitation in the period from 2017 to 2019 in the FNRC RR were analyzed.
Results. Indirect calorimetry has proven to be the most accurate method for creating an effective and adequate program of nutritional and metabolic support in patients in chronic critical conditions who recovers from the coma. In patients who recovers from the coma, due to the excessive process of hypercatabolism, increasing protein requirements: the average protein requirements for a patient who recovers from the coma are 1.26–1.5 g of protein per kg/weight. Conducting optimal nutritional support for patients recovering from Coma involves determining the functional state of the gastrointestinal tract. To build an effective and adequate program of nutritional and metabolic support where accurate determination of energy needs is of great importance.
Conclusions. The indirect calorimetry method is a valuable tool for assessing energy needs, although without taking into account the functionality of the gastrointestinal tract and other factors affecting body compositions, it may not be sufficient to prescribe optimal nutritional support in patients after recovering from Comatose.
作者简介
M. Petrova
Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology"; Peoples Friendship University of Russia
Email: mail@petrovamv.ru
д.м.н., заместитель директора по научно-клинической деятельности
俄罗斯联邦, 25-2, Petrovka street, Moscow,107031; 6, Miklukho-Maklaya street, Moscow, 117198A. Shestopalov
Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology"; Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation
编辑信件的主要联系方式.
Email: ashest@yandex.ru
SPIN 代码: 7531-6925
д.м.н., профессор, главный научный сотрудник лаборатории клинического питания и метаболизма
俄罗斯联邦, 25-2, Petrovka street, Moscow,107031; 2/1, Barrikadnaya st., Moscow, 125993A. Yakovleva
Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology
Email: avyakovleva@fnkcrr.ru
ORCID iD: 0000-0001-9903-7257
младший научный сотрудник лаборатории клинического питания и метаболизма
俄罗斯联邦, 25-2, Petrovka street, Moscow,107031K. Krylov
Federal State Budgetary Scientific Institution "Federal Research and Clinical Center for Resuscitation and Rehabilitology"
Email: krkerk@gmail.com
ORCID iD: 0000-0002-1807-7546
к.м.н., старший научный сотрудник лаборатории двигательной реабилитации, восстановления глотания и речи
俄罗斯联邦, 25-2, Petrovka street, Moscow,107031E. Mengistu
Peoples Friendship University of Russia
Email: krkerk@gmail.com
ординатор 2-го года, кафедра анестезиологии-реаниматологии с курсом реабилитации
俄罗斯联邦, 6, Miklukho-Maklaya street, Moscow, 117198参考
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