肠营养中的脂质乳液:它是否重要?
Krista Haines1, Braylee Grisel, Laura Gorenshtein
1Division of Trauma and Critical Care and Acute Care Surgery, Department of Surgery, Duke University Medical Center.
Current opinion in critical care
|June 12, 2023
概括
新的脂质配方用于腹腔营养 (PN) 可能会改善患者的治疗结果. 节省欧米茄-6脂质的静脉注射脂质乳液 (ILEs) 显示出减少感染和住院时间的前景.
科学领域:
- 营养科学 营养科学
- 临床营养学 临床营养学
- 密集护理医学 密集护理医学
背景情况:
- 在亲肠营养 (PN) 中,基于大豆油 (SO) 的静脉脂类乳液 (ILEs) 与高欧米茄-6含量导致不良结果有关.
- 临床医生正在探索用于PN管理的非大豆 ILEs.
研究的目的:
- 审查最近关于PN中Omega-6脂质节约ILEs临床结果的文献.
- 评估较新的ILE配方在改善患者治疗结果方面的有效性.
主要方法:
- 最近研究的文献综述.
- 翻译和元分析证据的分析.
- 专注于在重症监护室 (ICU) 人口中的PN.
主要成果:
- 有证据表明,含有脂质配方的鱼油 (FO) 和/或橄油 (OO) 可以改善ICU患者的免疫功能.
- 节省欧米茄-6脂质的ILEs有望减少感染,缩短住院时间和降低成本.
结论:
- 虽然大规模的比较研究是有限的,但目前的证据支持在PN中使用较新的ILE.
- 需要进一步的研究来直接比较Omega-6节省PN配方与传统SO ILE.
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