Title

Nutritional status and feeding practices in gastrointestinal surgery patients at Bach Mai Hospital, Hanoi, Vietnam

Translated Titles

越南河内巴赫麦医院胃肠道手术患者的营养状况和喂养方式

DOI

10.6133/apjcn.092015.15

Authors

Lorraine S Young;Pham Thi Thu Huong;Nguyen Thi Lam;Nghiem Nguyet Thu;Ha Thi Van;Nguyen Lien Hanh;Le Danh Tuyen;Dinh Thi Kim Lien;Tran Hieu Hoc;Chu Thi Tuyet;Nguyen Quoc Anh;Elizabeth G Henry;Carine M Lenders;Kathleen M Gura;Sherman J Bigornia;Caroline M Apovian;Thomas R Ziegler

Key Words

肠内营养 ; 营养不良 ; 主观整体评估 ; 肠外营养 ; 越南 ; enteral nutrition ; malnutrition ; subjective global assessment ; parenteral nutrition ; Vietnam

PublicationName

Asia Pacific Journal of Clinical Nutrition

Volume or Term/Year and Month of Publication

25卷3期(2016 / 09 / 01)

Page #

513 - 520

Content Language

英文

Chinese Abstract

背景与目的:越南手术患者的营养状况和院内喂养方式没有被详细记录。根据巴赫麦医院的一个横断面研究,在外科病房应用体质指数(BMI<18.5kg/m^2)所判定的营养不良患病率为33%。我们在越南河内巴赫麦医院的对胃肠(GI)外科病房的喂养方法进行了观察研究。方法与研究设计:来自美国和越南国家营养研究所的调查员从巴赫麦医院招募72名入院进行择期胃肠手术的患者参与了这项观察性研究。记录基线人体测量指标及其随时间的变化,体质指数,主观整体评估(SGA),从入院到出院经口摄食、管饲喂养和肠外营养的每日能量和蛋白质的摄入量。结果:共有50%的研究对象SGA得分为B或C,48%的研究对象BMI<18.5,而平均的上臂围为正常水平偏低(24±4 cm)。几乎所有的患者(98%)在术后给予肠外营养,平均术后4天给予经口喂养,只有一个病人是管饲喂养。住院期间,平均每天总能量摄入为15 kcal/kg/day,蛋白质摄入为0.61 g/kg/day,接受肠外营养者极少补充微量元素。结论:越南手术患者住院期间营养不良是一个重要问题,围手术期患者出现喂养不理想和术后早期应用肠内营养是常规。

English Abstract

Background and Objectives: The nutritional status and hospital feeding practices of surgical patients in Vietnam are not well documented. Based on a cross-sectional study at Bach Mai Hospital (BMH), the prevalence of malnutrition was found to be 33% in the surgical ward using a body mass index (BMI<18.5 kg/m^2. We conducted an observational study over a three month period to evaluate the feeding practices in the gastrointestinal (GI) surgery ward at Bach Mai Hospital (BMH) in Hanoi, Vietnam. Methods and Study Design: Investigators from the U.S. and the Vietnamese National Institute of Nutrition (NIN) enrolled 72 subjects admitted for elective GI surgery in an observational study at BMH. Baseline anthropometrics and changes over time, body mass index (BMI), Subjective Global Assessment (SGA) and daily kcal and protein intake from oral diet, tube feeding, and parenteral nutrition (PN) from admission until discharge were documented. Results: A total of 50% of subjects scored a B or C on the SGA; 48% of subjects had a BMI<18.5, while mean mid upper arm circumference was in the lownormal range (24±4 cm). Nearly all patients (98%) were given PN postoperatively, with oral feeding starting on an average of postoperative day 4. Only one patient was tube fed. Mean daily total calorie intake was 15 kcal/kg/day and protein intake was 0.61 g/kg/day during hospitalization. Micronutrient supplementation was minimal in subjects receiving PN. Conclusions: Hospital malnutrition in surgical patients in Vietnam is a significant problem, peri-operative feeding appears suboptimal and use of early postoperative PN was routine.

Topic Category 醫藥衛生 > 預防保健與衛生學