儿童血液和骨髓移植患者的营养支持最佳实践:综合性审查
Jessica D Murphy1, Heather J Symons2, Kenneth R Cooke2
1School of Nursing, Johns Hopkins University, Baltimore, MD 21287, USA.
Children (Basel, Switzerland)
|June 27, 2024
概括
优化营养对于儿科血液和骨髓移植 (BMT) 是至关重要的. 优先考虑肠道营养而不是肠道营养可以减少并发症,并改善年轻的BMT患者的治疗结果.
科学领域:
- 儿科血液学/瘤学
- 移植医学 移植医学
- 营养科学 营养科学
背景情况:
- 在接受血液和骨髓移植 (BMT) 的儿科患者中,最佳的营养支持至关重要.
- 目前在儿科BMT中营养管理的做法缺乏标准化.
- 营养干预对移植后结果的影响需要进一步研究.
研究的目的:
- 评估当前对儿科BMT接受者的营养支持策略.
- 确定营养方案和移植后结果之间的关联.
- 突出有关儿科BMT营养护理的文献上的差距.
主要方法:
- 在CINAHL,Embase和Cochrane数据库中进行了文献搜索.
- 审查了2019年至2023年期间发表的同行评审文章,重点关注20岁或更年轻的BMT接受者营养干预措施.
- 审查中包括了九篇相关文章.
主要成果:
- 营养支持方法包括肠道营养,肠外营养,组合疗法和预防性管放置.
- 营养方案与停留时间,血小板移植,急性移植对宿主疾病,感染率和整体存活率有关.
- 通过肠道营养的任何使用,与单独通过肠道营养相比,都显示出好处.
结论:
- 优先考虑肠道营养而不是肠道营养可能会减少儿科BMT的并发症.
- 在优化儿科 BMT 患者的营养支持方面,研究显著缺乏.
- 未来的研究应该专注于加强肠道养策略和在这个人群中的利用.
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