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저당질고지방-경장영양액이 뇌손상 후 환자의 혈당 조절에 미치는 영향: A Pilot Study

Other Titles
 The Effects of High Fat Formula on the Blood Glucose Control of Brain-injured Patients: A Pilot Study 
Authors
 이송미  ;  김선정  ;  정혜경  ;  전주혜  ;  이보담  ;  홍창기  ;  박종숙  ;  장철호 
Citation
 Journal of the Korean Society for Parenteral & Enteral Nutrition (한국정맥경장영양학회지), Vol.4(1) : 21-26, 2011 
Journal Title
Journal of the Korean Society for Parenteral & Enteral Nutrition(한국정맥경장영양학회지)
ISSN
 1976-7315 
Issue Date
2011
Keywords
Brain injury ; Tube-feeding formula ; Blood glucose ; Hospital infection
Abstract
Purpose: Hyperlycemia after brain injury is known to be a risk factor that is correlated with hospital infection, mortality and the length of the hospital stay. There have been some reports about the use of a reduced-carbohydrate, modified high fat enteral formula for improving the blood glucose control and clinical outcomes of patients with type 2 diabetes. This pilot study evaluated the glucose control of brain-injured patients who were admitted into the neurointensive care unit (NCU) and they received either standard formula or high fat formula. Methods: Fourteen subjects were collected and they were divided into the experimental (high fat formula) and the control (standard formula) groups. We investigated the blood glucose levels, the total dose of insulin used, the number of patients who received insulin, the rate of hospital infection, the number of hospital days, the number of NCU days, the days of mechanical ventilation, the body mass index and the mental status of the subjects. Results: The hospital infection rate of the control group was higher than that of the experimental group, but the daily blood glucose level, the number of patients who received insulin and the total dose of insulin used were not statistically different between the two groups. The number of hospital days, the number of NCU days and the days on mechanical ventilation or the number of patients on mechanical ventilation were lower in the experimental group than that in the control group, but there were no statistically significant differences. Conclusion: These results suggest that the use of high fat enteral formula as compared to standard formula may decrease the hospital infection rate in critically ill patients after brain injury. But high fat formula did not have beneficial effects on the blood sugar level and insulin dosage.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jong Suk(박종숙) ORCID logo https://orcid.org/0000-0002-5385-1373
Chang, Chul Ho(장철호) ORCID logo https://orcid.org/0000-0001-5647-8298
Hong, Chang Ki(홍창기) ORCID logo https://orcid.org/0000-0002-2761-0373
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95049
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