VU THI BAC HA
RESEARCH ON NUTRITIONAL EFFECT OF HOMEMADE HIGH ENERGY SOLUTION FOR EARLY FEEDING
THROUGH GASTRIC TUBE FOR SERIOUS PATIENTS AT HUE CENTRAL HOSPITAL
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DOCTORAL THESIS IN MEDICINE

HANOI 2010
VU THI BAC HA
RESEARCH ON NUTRITIONAL EFFECT OF HOMEMADE HIGH ENERGY SOLUTION FOR EARLY FEEDING
THROUGH GASTRIC TUBE FOR SERIOUS PATIENTS AT HUE CENTRAL HOSPITAL
Major: Dietetics Code: 62 72 73 01
DOCTORAL THESIS IN MEDICINE
Scientific instructor:
1. Associate Professor, Dr. Nguyen Thanh Cho
2. Prof. Dr. Pham Nhu The
HANOI 2010
COMMITMENT
I hereby declare that this is my own research work. The data presented in the thesis are true.
The scientific conclusions of the thesis have never been published in any other work.
THESIS AUTHOR
VU THI BAC HA
ACKNOWLEDGEMENTS
To complete this thesis, I have received sincere and effective help and support from many individuals and groups, from teachers and colleagues near and far.
First of all, I would like to express my deep gratitude to the Party Committee, Board of Directors, Postgraduate Department - Military Medical Academy, Party Committee, Board of Directors of Hue Central Hospital for creating favorable conditions for me to study and carry out the research topic.
I would like to especially thank Associate Professor, Dr. Nguyen Thanh Cho - Head of the Department of Nutrition, Military Medical Academy and Professor, Dr. Pham Nhu The - former Director of Hue Central Hospital, the teachers who enthusiastically guided and helped me throughout the time of researching and completing this thesis.
I would like to express my sincere thanks to Associate Professor, Dr. Tran Van Tap - former head of the Department of Nutrition, Military Medical Academy, for his enthusiastic encouragement, support and valuable comments during my research and thesis completion.
I would like to sincerely thank the scientists, teachers and colleagues who shared and contributed many ideas to help me during the time of implementing the research topic.
I would like to sincerely thank my colleagues in the Department of Nutrition, the Board of Directors of the Center for Hematology and Blood Transfusion, the Department of Emergency Resuscitation, the Department of Biochemistry, the Department of Infection Control, and the General Planning Department of Hue Central Hospital for spending a lot of time and effort to help me during the time of carrying out the research topic.
I always remember the gratitude of all members of my family: my father, mother, husband, children, brothers, sisters, and siblings who shared, encouraged, and supported me so that I could study, research, and complete this thesis with peace of mind.
Finally, I would like to thank the patients and their families in this study.
Hanoi, May 19, 2010
THESIS AUTHOR
VU THI BAC HA
ABBREVIATIONS AND SYMBOLS IN THE THESIS
A Age - Age
AF Activities Factor - Albumin Activity Factor
BEE Basal Energy Expenditure - Basic Energy Expenditure BMI Body Mass Index - Body Mass Index
Patient
CHO Cholesterol
g/l gram/liter
H Height - Height
HDL High Density Lipoprotein ht Serum
IDI International Diabet Institude - International Diabetes Institute
IF Injury Factor - Injury Factor
Kcal Kilocalorie
Kg Kilogram
LDL Low Density Lipoprotein
MCT Medium Chain Triglyceride - Medium chain triglyceride mOsm milliosmol
NC1 Research Group 1
NC2 Research Group 2
NDC Control group NDOT Feeding catheter SLDD Amount of solution
TBMMN Cerebrovascular accident
TF Thermal Factor - Temperature Factor
TG Triglyceride
Full tp
W Weitgh - Body Weight
Cover Page Pledge Table of Contents
INDEX
Page
Abbreviations and symbols in the thesis List of tables
List of charts List of diagrams List of photos
PROBLEM STATEMENT 1
Chapter 1: DOCUMENT OVERVIEW 3
1.1. The role and need for nutrients for the disease
heavy multiplier 3
1.1.1. The role of nutrition in the treatment of critically ill patients 3
1.1.2. Nutritional needs for patients requiring nutrition
support 9
1.2. Nutritional support methods for patients
in hospital 11
1.2.1. Intravenous nutrition 12
1.2.2. Enteral nutrition 14
1.3. Nutritional diets for patients in hospital
Institute 25
1.3.1. Clear liquid diets contain a
low intake of nutrients 25





