創傷治癒促進のための栄養管理-栄養評価法と必要栄養素量-

  • 北島 幸枝
    東京医療保健大学医療保健学部医療栄養学科

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タイトル別名
  • Nutritional assessment and nutritional requirement
  • ソウショウ チユ ソクシン ノ タメ ノ エイヨウ カンリ : エイヨウ ヒョウカホウ ト ヒツヨウ エイヨウソリョウ

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By increased in patients with diabetes and chronic kidney disease and aging, in addition to the peripheral artery disease (PDA) due to atherosclerosis, such as diabetic neuropathy and peripheral arterial disease, having further complication of malnutrition and infection, patients with wound of limb, including diabetic foot are increasing. Nutritional therapy for wound healing is a basic treatment. The nutritional management for atherosclerotic cardiovascular disease, it is necessary to make the management of the risk factors (diabetes, chronic kidney disease, dyslipidemia and metabolic syndrome) and the nutritional status of them. Nutritional assessment is constructed from clinical diagnosis, somatometry, weight change, dietary intake and blood date. Nutritional screening must be made using the subjective global assessment (SGA). Because of most of patients with wound of limb have malnutrition. The comprehensive nutritional assessment is important.

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