肠道营养方案对严重病情的烧伤患者的影响
Ada Selina Jutba1,2, Amir Kamel1, Quynhnhu Nguyen3
1Department of Pharmacy, University of Florida Health Shands Hospital Gainesville, FL, USA.
International journal of burns and trauma
|July 18, 2024
概括
佛罗里达大学健康手臂烧伤中心.
科学领域:
- 关键护理医学 关键护理医学
- 营养支持 营养支持
- 燃烧管理 燃烧管理
背景情况:
- 肠道营养对于烧伤患者至关重要.
- 优化蛋白质摄入量会影响临床结果.
- 标准化协议确保提供足够的营养.
研究的目的:
- 为了评估佛罗里达大学 (UF) 健康手臂烧伤中心的肠道营养协议.
- 评估烧伤患者的蛋白质摄入量和临床结果.
- 为了使协议与美国肠道和肠道营养学会 (ASPEN) 的指南保持一致.
主要方法:
- 99名成年烧伤患者 (≥20%的TBSA) 的回顾性图表审查.
- 对接受肠道营养补充剂的患者的分析.
- 从2012年1月到2016年8月收集的数据.
主要成果:
- 平均蛋白质摄入量为137.8g/天 (2.03g/kg).
- 15%的移植损失,35天的平均停留时间,76%的存活率.
- 蛋白质摄入量和严重腹之间没有显著的关联 (P=0.132).
结论:
- 该UF健康手臂烧伤中心协议确保高蛋白质的管理.
- 该协议与ASPEN对肠道营养的建议保持一致.
- 在没有增加严重腹风险的情况下实现了有效的蛋白质输送.
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