Nutrition in the Stroke Patient

被引:77
作者
Corrigan, Mandy L. [1 ]
Escuro, Arlene A. [1 ]
Celestin, Jackie [1 ]
Kirby, Donald F. [1 ]
机构
[1] Cleveland Clin, Ctr Human Nutr, Nutr Support Team, Cleveland, OH 44195 USA
关键词
stroke; enteral nutrition; deglutition disorders; malnutrition; RESTING ENERGY-EXPENDITURE; MALNUTRITION; DYSPHAGIA; PREVALENCE; MANAGEMENT; UNDERNUTRITION; STIMULATION; DISLODGMENT; IMPROVEMENT; DIAGNOSIS;
D O I
10.1177/0884533611405795
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Malnutrition is common both before and after stroke, with dysphagia adding to nutrition risk. Many patients require specialized nutrition support in the acute phase and beyond when swallowing function does not improve or return to allow for nutrition autonomy. When neurologic deficits improve, assessment of the swallowing function, introduction of dysphagia diets, and specialized swallowing techniques are used to transition away from enteral feeding tubes to oral diets. This article reviews the evaluation and treatment of dysphagia, use of specialized nutrition support, strategies for weaning enteral tube feedings, and the impact of nutrition on quality of life in the stroke patient population. (Nutr Clin Pract. 2011;26:242-252)
引用
收藏
页码:242 / 252
页数:11
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