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视觉营养指标对重症监护室营养治疗的影响
1Department of Surgery, School of Medicine, Chosun University, Gwangju, Republic of Korea.
视觉营养指标 (VNI) 通过增加重症监护室患者的卡路里和蛋白质输送来提高营养治疗质量. 然而,VNI并没有显著改善临床结果,如ICU停留或死亡率.
科学领域:
- 关键护理医学 关键护理医学
- 营养疗法 营养疗法
- 临床营养学 临床营养学
背景情况:
- 营养治疗 (NT) 对重症监护室 (ICU) 患者至关重要.
- 评估视觉营养指标 (VNI) 对NT质量和临床结果的影响很重要.
研究的目的:
- 评估视觉营养指标 (VNI) 是否可以提高营养治疗的质量.
- 确定VNI的使用是否会改善ICU患者的临床结果.
主要方法:
- 一项前性研究随机将患者分配到VNI或非VNI (NVNI) 组.
- 在VNI组中,他们收到了显示总卡路里和蛋白质的视觉指标.
- 主要终点是增加卡路里和蛋白质供应;次要终点包括重症监护室停留,机械呼吸和脏替代疗法持续时间.
主要成果:
- VNI组的总热量 (18.6 vs 15.6 kcal/kg) 和蛋白质 (0.92 vs 0.71 g/kg) 供应显著增加.
- 两组之间在ICU停留时间,机械呼吸,置换疗法或7天和30天死亡率方面没有发现显著差异.
- 趋势表明了一些次要结果的潜在好处,但它们没有达到统计学意义.
结论:
- 视觉营养指标可以通过确保足够的卡路里和蛋白质供应来提高营养治疗的质量.
- 尽管营养供应得到改善,但VNI在本研究中并没有对关键临床结果产生重大影响.
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