[重症监护中的人工营养:欧洲PN研究的匈牙利结果]
Ákos Csomós1, László Klicsu2, István László3
11 Észak-pesti Centrumkórház - Honvédkórház, Központi Aneszteziológiai és Intenzív Terápiás Osztály Budapest, Róbert K. krt. 44., 1134 Magyarország.
Orvosi hetilap
|April 7, 2024
概括
与欧洲平均水平相比,匈牙利的重症监护病房在人工营养中实现了更高的卡路里和蛋白质目标. 这导致接受早期营养支持的患者的呼吸机日数显著减少.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 重症监护室的重症监护室是重症监护室的重症监护室.
背景情况:
- 人工营养对重症患者至关重要,影响伤口愈合和通风持续时间.
- 欧洲PN研究此前评估了欧洲的营养实践和重症监护病房 (ICU) 的结果.
研究的目的:
- 分析来自EuroPN研究的匈牙利数据.
- 将匈牙利ICU的营养实践和结果与欧洲基准进行比较.
- 检查卡路里和蛋白质摄入量对匈牙利ICU患者机械通风断奶和90天死亡率的影响.
主要方法:
- 对111名在6个匈牙利ICU住院时间超过5天的患者进行了回顾性和前性数据收集.
- 在前15天收集的营养数据 (卡路里和蛋白质摄入量).
- 结果数据 (死亡率,通风) 收集于第15,30和90天.
主要成果:
- 匈牙利患者达到ESPEN卡路里目标的92% (欧洲为83%) 和蛋白质目标的83% (欧洲为65%).
- 更高的累积卡路里和蛋白质摄入量显著减少了呼吸机日.
- 匈牙利患者通过更早地使用补充性肠外营养,更早地 (到第3天) 达到营养目标.
结论:
- 匈牙利的ICU在重症患者中表现出对ESPEN营养目标的卓越遵守.
- 较早实现营养目标,特别是通过腹腔营养,与减少机械通风持续时间有关.
- 研究结果强调了及时和适当的人工营养对于改善重症监护的结果的重要性.
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