The Role of Nutrition in the Management and Prevention of Pressure Ulcers

作者: David R. Thomas

DOI: 10.1007/978-1-62703-700-6_8

关键词: Medical nutrition therapyChronic woundCachexiaMalnutritionMedicineSmall sampleEnergy requirementIntervention trialsIntensive care medicineStarvation

摘要: Nutritional support is a cornerstone of clinical care and should be provided to all persons, including persons with pressure ulcers, consistent medical goals patient wishes. Whether nutrition can improve the outcome ulcers remains disputable. Energy requirements for are estimated empirically between 25 30 kcal/kg/day, but have been confirmed in studies using nutritional formulas such as Harris–Benedict equation. The optimum amount protein intake not known, likely lies 1.2 1.5 g/kg/day. Higher intakes may harmful associated higher rates healing. Supplemental amino acids supertherapeutic supplements vitamins minerals shown much effect on healing ulcers. Clinical intervention trials suffer from small sample sizes poor methodological design, general exceptional benefit improving complete therapy will starvation due lack food, cachexia inflammatory conditions has remarkably resistant hypercaloric feeding.

参考文章(89)
Patricia S. Goode, Richard M. Allman, The prevention and management of pressure ulcers Medical Clinics of North America. ,vol. 73, pp. 1511- 1524 ,(1989) , 10.1016/S0025-7125(16)30613-7
M E Young, Malnutrition and wound healing. Heart & Lung. ,vol. 17, pp. 60- 67 ,(1988)
M C Regan, S J Kirk, M Hurson, A Barbul, D R Holt, H L Wasserkrug, Arginine stimulates wound healing and immune function in elderly human beings. Surgery. ,vol. 114, pp. 155- 160 ,(1993)
G Efron, D T Efron, A Barbul, S A Lazarou, H L Wasserkrug, Arginine enhances wound healing and lymphocyte immune responses in humans. Surgery. ,vol. 108, pp. 331- 337 ,(1990)
Richard W. Vilter, Nutritional aspects of ascorbic acid: uses and abuses. Western Journal of Medicine. ,vol. 133, pp. 485- 492 ,(1980)
D T Dempsey, J L Mullen, G P Buzby, The link between nutritional status and clinical outcome: can nutritional intervention modify it? The American Journal of Clinical Nutrition. ,vol. 47, pp. 352- 356 ,(1988) , 10.1093/AJCN/47.2.352
Eleanor J. Barone, Dome R. Yager, Andrea L. Pozez, Oluyinka O. Olutoye, Mary C. Crossland, Robert F. Diegelmann, Kelman I. Cohen, Interleukin-1alpha and collagenase activity are elevated in chronic wounds Plastic and Reconstructive Surgery. ,vol. 102, pp. 1023- 1027 ,(1998) , 10.1097/00006534-199809020-00015
Andrew Felcher, Jonathan Schwartz, Chaim Shechter, Stanley M. Levenson, Achilles A. Demetriou, Wound healing in normal and analbuminemic (NAR) rats. Journal of Surgical Research. ,vol. 43, pp. 546- 549 ,(1987) , 10.1016/0022-4804(87)90129-6