对于持久性严重疾病患者的营养考虑:叙述性审查
Elizabeth Viner Smith1,2, Kate Lambell3,4, Oana A Tatucu-Babet3
1Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
JPEN. Journal of parenteral and enteral nutrition
|March 23, 2024
概括
持久性严重疾病 (>10天在ICU) 的重症患者面临营养不良和肌肉损失. 在这些复杂的病例中,优化营养支持对于恢复至关重要.
科学领域:
- 临界护理医学 临界护理医学
- 临床营养学 临床营养学
- 代谢过程中的代谢.
背景情况:
- 在重症监护室 (ICU) 的重症患者中,营养不良和肌肉衰竭的比例很高,阻碍了恢复.
- 尽管营养的作用是公认的,但临床试验并未始终证明ICU干预措施的好处.
- 在ICU中增加患者的敏度和寿命,需要专注于长期的重症病.
研究的目的:
- 审查持久性严重疾病 (ICU停留时间>10天) 严重病患者的独特营养考虑因素.
- 讨论针对这种患者群体量身定制的营养支持的关键方面.
主要方法:
- 这是一篇综述文章,综合了当前关于持续严重疾病营养知识.
- 讨论的关键概念包括能量和蛋白质代谢,处方,输送和监测.
- 此外,还研究了多学科医疗团队在优化营养方面的作用.
主要成果:
- 持久性严重疾病会带来不同的代谢挑战,影响营养需求.
- 有效的营养供应和密切监测对于减轻营养不良和肌肉损失至关重要.
- 一个协调的团队方法对于成功的营养支持至关重要.
结论:
- 优化持续严重疾病患者的营养需要专门的策略,超出标准的ICU协议.
- 解决能源和蛋白质需求,以及警监测,可以改善结果.
- 医疗保健团队的协作努力对于长时间的ICU住院的营养管理至关重要.
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