2020-01-16 41
Special medical foods
1、Nutrition is more critical during illness
In traditional treatment methods, we pay attention to "medicine" and "medicine", but during the treatment of some conditions, if the patient does not pay enough attention to "food" and the body does not recover in time, it may affect the treatment of disease Adverse effects may extend the treatment period and increase the burden on patients. Some patients with chronic diseases require long-term medication, and in the process of treatment, if the diet is not appropriate, the medication will be taken longer, and the condition may even worsen. Even if "eating" is valued, it is still useless without scientifically "eating right".
2、Supplements and soups may not be able to supplement
It is probably the family's most concerned about what the patient eats during the hospital stay to supplement the nutrition quickly.
In the past, patients would enjoy the treatment of eating large meals every day, and various chickens, fish, and eggs took turns. In the ward, we often see the supplements such as pigeon soup, chicken soup, pork rib soup, and sea cucumber prepared by family members. They are really Is it nutritious?
Indeed, patients with weak health can increase appetite and supplement some nutrition by drinking soup and water, but they are far from the target amount needed by the body, especially for patients who need a liquid diet such as a severe illness, and can not supplement nutrition in time. Causes malnutrition, resulting in increased complications, longer hospital stays, and increased hospitalization costs.
If you are still drinking chicken soup to supplement your body after surgery, postpartum, sickness, etc ... you will find that the food is not digested in the stomach, the body is not too much, but it is a lot fatter, and even increases the burden on the body ; But if you do n’t eat chicken and eggs at all, and eat the clear soup and water, the sickness of taking medicine is very slow ...!
3、Enteral nutrition is preferred for many malnourished patients
Survey on nutritional situation in five Chinese cities 2012-2013
There are many malnourished patients in China. According to statistics, among the 140 million inpatients in China, less than 1% receive clinical nutrition diagnosis and treatment, while there are hundreds of millions of patients with chronic non-communicable diseases outside the hospital. The clinical nutrition treatment is still unmanaged, and major diseases such as nutrition for cancer patients The probability of adverse events is 70% -80%, and the needs of tens of millions of patients are not met.
Incidence of nutritional risk in Chinese patients
Image source: Chinese Journal of Clinical Nutrition
It is because when a person is sick, their appetite is poor and their digestive function becomes weak, but the body urgently needs a lot of nutrition to recover. This is a very contradictory problem.
There are many hospitals where patients suffer from malnutrition and the usual solution is to inject nutrition into the patient. However, clinicians now hope that as long as patients have the ability to digest and absorb, try to obtain nutrition through diet instead of injecting nutrients, because injecting nutrients will still affect intestinal function and intestinal flora. Therefore, in the choice of enteral nutrition and parenteral nutrition, enteral nutrition is preferred.
Principles of Nutrition Choice
4、The difference between enteral nutrition and parenteral nutrition
肠内营养(fsmp) | 肠外营养(静脉注射) |
通过口服,鼻饲进入胃肠道进行消化吸收来补充营养 | 通过静脉注射,通过血液循环来补充营养的 |
营养全面、均衡 | 营养素较单一 |
可长期不间断使用 | 只能在特定的短期内使用 |
长期使用可改善胃肠道功能,增强体质、改善身体各项生理功能 | 长期使用会导致胃肠道功能的衰退,引起各项生理机能的紊乱 |
费用比肠外营养低 | 费用比肠内营养高 |
并发症少、相对安全 | 并发症高 |
5、Benefits of more enteral nutrition
1. Provide a variety of nutrients and trace elements that are safe and balanced to meet physiological needs, and send the patient's overall nutritional status.
2. Directly nourish the gastrointestinal tract and effectively maintain the normal physiological functions of the digestive system.
3. Protect the gastrointestinal mucosal barrier and prevent bacterial translocation.
4. Promote the secretion of immunoglobulins and gastrointestinal hormones, improve the body's immunity, and reduce the incidence of postoperative infections and complications.
5. Reduce high decomposition and improve nitrogen balance.
6. More economical medical expenses, shorten the number of hospital stays, and reduce treatment costs.
TF + ONS = enteric nutrition
Enteral nutrition is used in less than half of hospitalized patients
6、Special medical foods
In order to meet the nutritional needs of patients after surgery, and to perform enteral nutrition more efficiently, special medical foods have appeared. Its appearance is of great significance for patients' rehabilitation, especially for postoperative nutritional rehabilitation of cancer patients. Special medical food can improve or appetite, and can also improve the patient's physical immunity. Special medical food is specially processed and formulated to meet the special needs of nutrients or diet for people with restricted eating, digestive and absorption disorders, metabolic disorders or specific disease states. In layman's terms, special medical food is the "meal" for patients
The application of special medical foods can correct metabolic imbalances, maintain body balance, improve body functions, while reducing complications such as infections, provide a stable metabolic platform for treatment, enhance the effects of various treatments, promote health, and improve the quality of life of patients. Avoid the necessary nutrition to be obtained from the complicated food, and the special functions of the special formula can be carefully configured to allow patients to obtain nutrition without worry, worry and rapid recovery.
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