Nutrition Care Repor t ??年,NSTをはじめとしたチーム医療による栄養管理が重要視されています. しかし,NSTのメンバーに加わったばかりの看護師の方々のなかには,適正なエネルギーやタンパク量の求め方などで悩んでいる人も少なくないようです.

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  • NSTNST1NSTNSTNPC/N

    SS8010NSTNSTODA 150cm 38kgBMI 16.9Alb 2.0g/dLSGA1.5kg3.8%3NST

    S

    S

    1,000kcal/

    3

    3

    Teruyoshi Amagai

    Maki Wakita

    Mio Matsuoka

    200

    NST

    4

    NSTNST

    Vol.28 No.10 2008.9 43

    N u t r i t i o n C a r e R e p o r t

  • 1Long

    BEEHarris-Benedict

    =

    BEE

    Harris-Benedict

    BEE =

    66.47+13.75kg5.0cm6.75

    BEE =

    655.109.56kg1.85cm4.68

    S

    1.21.4

    38kg150cm

    80

    TEE1,500kcal/

    1/4Refeeding

    2

    3 g160.16

    S

    S

    2TEE

    2

    kg2530kcal

    S38281.41,500kcal

    SGA

    NPC/N

    1

    1.2

    1.3

    0.61.0

    1

    1.151.3

    /COPD 1.11.3

    / 1.11.3

    / 1.21.4

    1.22.0

    1.22.0

    44 Vol.28 No.10 2008.9

  • 1NPC/N

    NPC/N2

    0.163

    2

    NPC/N

    NPC/N

    BUN

    NPC/N

    NPC/N

    NPC/NNPC/N

    NPC/N

    NPC/N

    150200

    80100100

    150200

    NPC/N150

    NPC/N

    NPC/N100150200

    S

    1,500kcalNPC/N

    150

    S

    38kg1.1=40g

    NPC/N

    80 200100 150

    NPC/N

    2.5

    2

    1.5

    1

    0.5

    0

    g/kg/

    2,000 1,500 1,000kcal/

    NPC/N 100 150 200

    NPC/N

    Vol.28 No.10 2008.9 45

  • 1

    NO

    2

    NO

    46 Vol.28 No.10 2008.9

    NO

    3

    IGF-1

    4

    NST

    SGANST

    Cui X, Iwasa M, Iwasa Y, et alNutrition, 157/85635691999Kirk SJ, Hurson M, Regan M, et alSurgery, 1141551601993Barbul A, Lazarou SA, Efron DT, et alSurgery, 1083313371990Schaffer MR, Tantry U, Ahrendt GM, et alJ Surg Res, 18437431997Kirk SJ, Barbul AJPEN,145226S229S1990

    Albina JE, Mills CD, Barbul A, et alAm JPhysiology, 254E459E4671988Beaumier L, Castillo L, Yong-Ming Y, et alBiomed Environ Sci., 92963151996Long11066446512007 EVIDENCE CONTROVERSYp.2126200610NPC/N11167627672007

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