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경장영양과 중심정맥영양을 공급받는 외과계 수술 환자의 과대사 정도에 따른 영양 섭취량 및 생화학적 검사 결과
라미용,김은미,최혜미,조영연,서정민 대한지역사회영양학회 2006 대한지역사회영양학회지 Vol.11 No.2
This study evaluated the nutrition intake and changes in laboratory data of surgery patients with hypermetabolic severity on nutrition support. From January 2002 to September 2002, 66 hospitalized surgery patients who had received enteral nutrition (EN, n = 19) and total parenteral nutrition (TPN, n = 47) for more than 7 days were prospectively and retrospectively recruited. The laboratory data was examined pre-operatively, and on the post-operative 1, 3, 7 day and at the time of discharge. The characteristics of the patients were examined for the hypermetabolic severity, The hypermetabolic scores were determined by high fever (> 38℃), rapid breathing (> 30 breaths/min), rapid pulse rate (> 100 beats/min), leukocytosis (WBC > 12,000/μl), leukocytopenia (WBC < 3,000/μl), status of infection, inflammatory bowel disease, surgery and trauma. The scores for the hypermetabolic status were divided into three groups (mild 0 - 10, moderate 11 - 40, severe> 41). According to the results of the study, 38.3% (n = 23), 45.4% (n = 30) and 19.6% (n = 13) were in the mild, moderate, and severe groups, respectively. There was a decrease in the serum albumin level and weight loss according to the hypermetabolic severity. However, the white blood cells (WBC), fasting blood sugar (FBS), c-reactive protein (CRP), total bilirubin, GOT, and GPT increased. The nutritional intake was TPN (32.5 kcal/kg, protein 1.2 g/kg, fat 0.25 g/kg), EN (28.1 kcal/kg, protein 1.0 g/kg, fat 1.01 g/kg). The serum albumin, hemoglobin and cholesterol were higher in the EN group than in the TPN group. But the FBS, total bilirubin, GOT and GPT were higher in the TPN group than the EN group. In conclusion, there was a negative correlation between the changes in the laboratory data and the hypermetabolic severity. There was an increase in the number of metabolic complications in the TPN group. (Korean J Community Nutrition 11(2) : 289 ~ 297, 2006)
자연밥상, 건강한 영양소 - 봄철, 지치지 않는 피부 비타민과 미네랄이 정답!
라미용,Ra, Mi-Yong 한국건강관리협회 2013 건강소식 Vol.37 No.4
봄 햇살과 건조한 바람은 우리 피부에 독이 될 수 있다. 때문에 피부건강 관리가 필요한 때다. 봄철 피부건강을 지키는 데에는 충분한 수분과 비타민, 미네랄 섭취가 좋은 영향을 미치므로 비타민&미네랄 식품을 골라 먹어보자.
자연밥상, 건강한 영양소 - 감칠맛의 염분 지나치면 독
라미용,Ra, Mi-Yong 한국건강관리협회 2013 건강소식 Vol.37 No.2
된장찌개, 상추쌈, 불고기, 갈치조림 등 맛깔스럽게 밥상이 차려져 있다. 군침을 흘리며 냉큼 다가앉아 음식을 한입 넣는 순간, 염분기가 전혀 없는 맹탕의 맛이라면 첫마디가 어떻게 나올까? '무슨 맛이 이래?'라는 말이 절로 나올 것이다. 아무리 갖은 양념을 하여도 염분기가 없다면 입맛은 싹 사라질 것이다.
경정영양과 중심정맥영양을 공급받는 환자에서 질병의 상태(APACHEIII Score), 과대사 정도가 영양상태 및 임상적 결과에 미치는 영향
라미용,김은미,조영연,서정민,최혜미,Rha Mi yong,Kim Eun mi,Cho Young Y.,Seo Jeong Meen,Choi Hay mie 대한지역사회영양학회 2006 대한지역사회영양학회지 Vol.11 No.1
The aim of this study is to evaluate the clinical outcome. Between January 1,2002 to September 30, 2002, we prospectively and retrospectively recruited III hospitalized patients who received Enteral Nutrition (EN group n = 52) and Total Parenteral Nutrition (TPNgroup n = 59) for more than seven days. The factors of clinical outcomes are costs, incidences of infection, lengths of hospital stay, and changes in weight. The characteristics of patients were investigated, which included nutritional status, disease severity CAP ACHE III score) and hypermetabolic severity Chypermetabolic score). Hypermeta-bolic scores were determined by high fever (> $38^{\circ}C$), rapid breathing (> 30 breaths/min) , rapid pulse rate (> 100 beats/min), leukocytosis (WBC > 12000 $mm^{3}$), leukocytopenia (WBC > 3000 $mm^{3}$), status of infection, inflammatory bowel disease, surgery and trauma. There was a positive correlation between hypermetabolic score and length of hospital stay (ICU), medical cost, weight loss, antibiotics adjusted by age while APACHEIII score did not show correlation to clinical outcome. Medical cost was higher by $18.2\%$ in the TPN group than the EN group. In conclusion, there was a strong negative correlation between the clinical outcome (cost, incidence of infection, hospital stay) and hypermetabolic score. Higher metabolic stress caused more malnutrition and complications. For nutritional management of patients with malnutrition, multiple factors, including nutritional assessment, and evaluation of hypermetabolic severity are needed to provide nutritional support for critically ill patients.