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一份临床共识论文关于儿童腹管养的临床共识论文
Kathleen H McGrath1,2, Tanya Collins3, Annabel Comerford4
1Department of Gastroenterology and Clinical Nutrition, The Royal Children's Hospital, Melbourne, Victoria, Australia.
JPEN. Journal of parenteral and enteral nutrition
|March 2, 2024
概括
管养为某些无法忍受胃养的儿科患者提供安全有效的营养支持. 仔细的患者选择和多学科的随访对于管理潜在的并发症至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 医疗器械技术 医疗器械技术
背景情况:
- 在患有复杂医疗条件的重症儿童中,食困难很普遍.
- 在某些儿科病例中,胃管食可能耐受不佳或不可行.
- 当胃肠道治疗方案失败时,管食作为一种替代的营养支持.
研究的目的:
- 建立对儿科患者内管养的共识指南.
- 定义患者选择,输管管理和并发症处理的最佳实践.
- 为儿童使用阴茎管提供基于证据的建议.
主要方法:
- 来自澳大利亚亲肠和肠道营养学会的多学科专家小组制定了关键问题.
- 在2000-2022年期间,主要数据库 (PubMed,Embase,Medline) 进行了全面的文献搜索.
- 通过基于指南评估研究的修改后的Delphi流程达成共识.
主要成果:
- 在五个关键领域制定了二十四个共识声明.
- 涵盖的关键领域包括患者选择,输卵管类型,并发症管理,临床应用和后续方案.
- 这些指导方针涉及在儿科护理中安全有效地实施腹养.
结论:
- 管养对于那些不能使用胃管的有复杂需求的儿科患者来说是一个可行的和安全的选择.
- 由于可能出现并发症,细致的患者选择至关重要,其中一些需要干预.
- 多学科团队的参与是最优的评估和持续管理的必要条件,在乳头管养的儿童.
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