基于类与标准聚合物肠道营养在高营养风险的ICU患者的比较疗效:多中心随机对照试验
Rungsun Bhurayanontachai1, Petch Wacharasint2, Dujrath Somboonviboon2
1Critical Care Medicine Unit, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand. rungsun2346@gmail.com.
Scientific reports
|June 21, 2024
概括
基于的配方 (PBF) 有助于重症患者在ICU中比标准聚合物配方 (SPF) 更快地达到热量目标. 这种营养干预对高风险患者来说是有前途的,没有负面的临床影响.
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
- 胃肠病学 胃肠病学
背景情况:
- 危急病患者经常面临营养方面的挑战.
- 营养风险增加需要专门的养策略.
- 基于的配方 (PBF) 可能比标准的聚合物配方 (SPF) 有优势.
研究的目的:
- 在高营养风险的重症患者中,比较PBF与SPF的疗效.
- 评估PBF对实现热量目标和其他临床结果的影响.
- 评估PBF在这个患者群体中的安全性和耐受性.
主要方法:
- 一个双盲,随机对照试验在三个ICU中进行.
- 纳入了63名患有mNUTRIC分数升高的成年患者.
- 参与者接受了PBF或SPF,主要结果是达到热量目标的时间.
主要成果:
- 接受PBF的患者比SPF (2.06对2.39天,p=0.03) 的患者更快地实现了热量目标.
- 在胃残留体积,机械通风持续时间,ICU停留时间或死亡率方面没有发现显著差异.
- 这两种配方类型都被很好地容忍,副作用最小,没有腹部膨胀.
结论:
- 在高风险的ICU患者中,PBF有助于更快地实现热量目标.
- PBF显示出良好的安全性,并且不会对关键的临床结果产生负面影响.
- 对于重症患者来说,PBF是一种潜在的有价值的营养干预措施,可能提供免疫调节的好处.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
104
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
104
Enteral Nutrition I: Orogastric and Nasogastric Feeding
241
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
241
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
127
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
127
Peptic Ulcer Disease V: Surgical Management and Nursing Care
287
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
287


