アブストラクト
Japanese
| Title | 神経疾患における栄養療法, その基礎知識 |
|---|---|
| Subtitle | 特集 / 神経疾患の栄養療法 - 基礎から最新情報まで - -2 |
| Authors | 木田耕太** |
| Authors (kana) | |
| Organization | **東京都立神経病院脳神経内科, 東京都立神経病院ALS/MNDセンター |
| Journal | 神経治療学 |
| Volume | 39 |
| Number | 1 |
| Page | 8-12 |
| Year/Month | 2022 / |
| Article | 報告 |
| Publisher | 日本神経治療学会 |
| Abstract | 「はじめに」人生において, いかにquality of life(QOL)を良好に保ち続けるか, ということは疾病罹患の有無に関わらず, 重要なテーマである. なかでも食べること, 良好な栄養状態を保つことは, 生命維持のみならず人生の楽しみや尊厳の観点からも意義が大きい. 低栄養状態は生命予後のみならずQOLをも大きく損なうため, その予防と治療が重要である. 神経疾患の栄養障害は疾患・病態により多様である. さらに中枢神経, 末梢神経, 筋をはじめ, 責任病巣も多岐にわたるため, 嚥下障害, 呼吸障害, 運動麻痺, 筋強剛, 不随意運動, 運動失調など患者ごとに多様な障害が, しばしば複合的に存在する点が特徴的である. また, 便秘, 下痢, 褥瘡, 誤嚥性肺炎など, 合併症も少なくない. 近年, 神経疾患の栄養障害及び栄養療法について理解が進んでいる. 欧州をはじめ本邦でも脳卒中や筋萎縮性側索硬化症などをはじめとした神経疾患に対する栄養療法について, 治療ガイドラインへ記載されるようになってきた. 本稿では, 神経疾患における栄養療法について, その基礎知識を整理し, 概説する. |
| Practice | 臨床医学：内科系 |
| Keywords | nutrition therapy, neurological diseases, multidisciplinary team, nutrition support team |
English
| Title | Nutrition therapy in neurological diseases : the basic knowledge |
|---|---|
| Subtitle | |
| Authors | Kota BOKUDA |
| Authors (kana) | |
| Organization | Department of Neurology, Tokyo Metropolitan Neurological Hospital, ALS/MND Center, Tokyo Metropolitan Neurological Hospital |
| Journal | Neurological Therapeutics |
| Volume | 39 |
| Number | 1 |
| Page | 8-12 |
| Year/Month | 2022 / |
| Article | Report |
| Publisher | Japanese Society of Neurological Therapeutics |
| Abstract | Nutrition therapy is extremely important for neurological diseases in order to improve patients' prognosis and quality of life. In the recent years, nutritional therapy has been recommended in the treatment guidelines for several disorders, including stroke and amyotrophic lateral sclerosis. Nutritional disorders in patients with neurological diseases vary depending on the background disease and pathological conditions. Furthermore, because of the wide range of lesions (including those in the central nerves, peripheral nerves, and muscles), several disorders such as dysphagia, respiratory disorders, motor paralysis, muscle rigidity, involuntary movements, and ataxia often coexist in patients. Moreover, patients may also have other complications such as constipation, diarrhea, pressure ulcers, and aspiration pneumonia. In order to provide appropriate nutritional therapy, each patient must be provided tailor-made interventions and support ; sharing of knowledge among multidisciplinary experts would aid the development of such interventions. |
| Practice | Clinical internal medicine |
| Keywords | nutrition therapy, neurological diseases, multidisciplinary team, nutrition support team |
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