缺点 - - 过度食在危急疾病早期的危害
Andrew Gessouroun1, Daniella DiNizo2
1The University of Kansas Medical Center, Kansas City, KS.
Journal of cardiothoracic and vascular anesthesia
|March 22, 2024
概括
从历史上看,重病患者接受全营养以改善结果. 然而,最近的证据表明,在危急疾病早期最大限度地食可能会造成伤害,这挑战了这种标准做法.
科学领域:
- 关键护理医学 关键护理医学
- 营养支持 营养支持
- 临床结果 临床结果
背景情况:
- 危急病患者的营养不良与不良结果有关.
- 以前的标准做法涉及早期和积极的营养支持.
- 新出现的证据质疑在危急疾病中最大限度养的好处.
研究的目的:
- 审查有关重症患者营养支持的文献.
- 描述最大限度养的潜在危害.
- 批判性地评估当前的养做法.
主要方法:
- 文献综述 文献综述 文献综述
- 编辑分析 编辑分析
- 综合了最近的研究.
主要成果:
- 最大的热量和蛋白质供应可能不会改善,并且可能会恶化结果.
- 某些疾病状态特别容易受到过度养的伤害.
- 传统的"尽快充分营养"的方法需要重新评估.
结论:
- 在危急疾病中早期最大限度的养可能会带来潜在的风险.
- 临床实践应以细微的证据为指导,而不仅仅是历史标准.
- 需要进一步的研究来确定最佳的营养策略.
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