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1口服营养补充的基本问题显示文摘口服营养补充(oral nutritional supplements,ONS)在营养不良患者中的使用已经日益广泛,然而口服营养补充的相关术语在文献写作中并不统一。本文通过检索国内外文献,对口服营养补充的英文名称、使用起源以及针对疾病的临床使用情况进行了综述,旨在进一步明确口服营养补充的相关定义和用途。1口服营养补充的起源口服营养补充目前已经得到广泛的认可和应用。然而,追溯其起源。林宁 时皎皎 陈怡 石汉平 2015肿瘤代谢与营养电子杂志2015,2,1:10
2Impact of enteral nutrition on energy metabolism in patients with Crohn's disease显示文摘AIM: To investigate the impact of enteral nutrition(EN) on the body composition and metabolism in patientswith Crohn's disease(CD). METHODS: Sixty-one patients diagnosed with CD were enrolled in this study. They were given only EN(enteral nutritional suspension, TPF, non-elemental diet) support for 4 wk, without any treatment with corticosteroids, immunosuppressive drugs, infliximab or by surgical operation. Body composition statistics such as weight, body mass index, skeletal muscle mass(SMM), fat mass, protein mass and inflammation indexes such as C-reactive protein(CRP), erythrocyte sedimentation rate(ESR) and CD activity index(CDAI) were recorded before and after EN support. RESULTS: The 61 patients were divided into three groups according to CDAI before and after EN support: A(active phase into remission via EN, n = 21), B(remained in active phase before and after EN, n = 19) and C(in remission before and after EN, n = 21). Patients in group A had a significant increase in SMM(22.11 ± 4.77 kg vs 23.23 ± 4.49 kg, P = 0.044), protein mass(8.01 ± 1.57 kg vs 8.44 ± 1.45 kg, P = 0.019) and decrease in resting energy expenditure(REE) per kilogram(27.42 ± 5.01 kcal/kg per day vs 22.62 ± 5.45 kcal/kg per day, P < 0.05). There was no significant difference between predicted and measured REE in active CD patients according to the HarrisBenedict equation. There was no linear correlation between the measured REE and CRP, ESR or CDAI in active CD patients. CONCLUSION: EN could decrease the hypermetabolism in active CD patients by reducing the inflammatory response.Jie Zhao Jian-Ning Dong Jian-Feng Gong Hong-Gang Wang Yi Li Liang Zhang Lu-Gen Zuo Yun Feng Li-Li Gu Ning Li Jie-Shou Li Wei-Ming Zhu 2015World Journal of Gastroenterology2015,21,4:9
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