当院NST活動について - onomichi-hospital.jp

1 NST 2004 H16)4 :NST 2004 H16)8 NST 2005 H17 2 NST 3 2010 H22 6 NST 2011 H23)5 2 2 1 1 ~ 200 30 SGA C Alb ICU HCU

2 ( ) NST ( ) NST 10 1112 / 1 / 2 / 219 NST NST 23 88 10 20 30 40 50 60 70 80 14 NST 23 ( )

3 ( ) - ( ) 125 200 7 8 125ml 200 8 70 80 6 7 66 150 3 90 160 0 I II III IV !

4 10 ! ! / 3 6 8 545 3 2500mg 500ml500ml125ml kcal5045100 mg575575- mOsm/l270252- N-3 IED

5 ESPEN IED IMD 253kcal250ml200kcal200ml375kcal250ml - EPA MCT L- 30mg/P (Zn Se Cr) EPA1300mg/P - 1100mg/P MCT L- 30mg/P NST kcal/ml 1kcal/ml1kcal/ml1 % 16181414 % % 1 250ml 1200kcal 4 6g 3g 1 + 1 1 + 1 1 + 1 1

6 III max max 55 C 5 10 1g1 3 330mg 3 1 3 Ca 1 15mg 25 g 1 1 g 1 1 1 216mg 1 1 1 3 5mg 43 1 3 10 500 210 15 PPN TPN 20% 100 200kcal 20 30% 2g/kg/day

7 ( 20% 100ml 3 /kg/ kg hr 40 1200kcal 3 1103ml 1A20% 100ml 7-II400ml 3 kcal 1360kcal1200kcal ml 1203ml1011ml g 40g60g g 20g24g g 252g184g NST NST ICU NST NST ( ) ICU NST NST NST Nutrition Support Team( ) NST NST (NST) NST NST 1 ICU Alb ( ))

8 NST 200 300ml/h 100ml/h ! ! NST ! ml/h ml/h1 50202 100253 150504 200505 200756 2001007 2001258 200150 2 RSST) (MWST) 33 55 33 55 33 55 1.

9 33 55 A) C) ( )B) ( ) A)C)B) ! / 2 4 7070 ICU ICU NST ( ,93 ) ICU NST ( ) NST NST ( NST NST