肠道营养疗法:历史视角,利用和并发症
Osman Mohamed Elfadil1, Saketh R Velapati1, Janki Patel1
1Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN, USA.
Current gastroenterology reports
|May 24, 2024
概括
肠道营养 (EN) 疗法提供了至关重要的支持,随着新配方和管道的发展而发展. 遵循基于证据的实践对于管理EN治疗和预防并发症至关重要.
科学领域:
- 临床营养学 临床营养学
- 医疗器械技术 医疗器械技术
- 患者护理管理的管理.
背景情况:
- 肠道营养 (EN) 是对需要营养支持的患者的关键治疗干预.
- 伦理考虑和适当的适应性对于有效的EN治疗至关重要.
- 该领域在输送方法和营养配方方面取得了重大进展.
研究的目的:
- 提供关于肠道营养发展的全面历史概述.
- 要突出关键的里程碑和最近的创新在EN治疗.
- 讨论常见的并发症及其管理策略.
主要方法:
- 历史数据的文献综述和肠道营养的最新研究.
- 分析整个料配方和输送系统的进步.
- 综合基于证据的实践,用于并发症管理.
主要成果:
- 现代EN疗法受益于先进的配方,多样化的管道选择,以及对挑战的更好理解.
- 建议选择根据具体患者需求量身定制的基于证据的配方.
- 标准的聚合物配方是目前启动EN的标准,尽管过渡到小孔连接器是不一致的.
结论:
- 坚持基于证据的实践对于早期识别和缓解与EN相关的并发症至关重要.
- 对EN配方和输送系统的持续改进提高了患者的治疗结果.
- 优化过渡到先进的传输系统,如小孔连接器需要进一步关注.
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