相关实验视频
Updated: May 25, 2025
04:50
An Acupoint Catgut-embedding Therapy for Treating Obesity
Published on: April 4, 2025
257
肥胖危急病患者的营养治疗:一项观察性研究
Juan Carlos Lopez-Delgado1, Laura Sanchez-Ales2, Jose Luis Flordelis-Lasierra3,4
1Area de Vigilancia Intensiva, Clinical Institute of Internal Medicine & Dermatology (ICMiD), Hospital Clínic de Barcelona, C/Villarroel, 170, 08036 Barcelona, Spain.
Nutrients
|February 26, 2025
概括
患有肥胖症的重症患者往往获得不足的能量和蛋白质,影响死亡率. 优化营养支持对于改善这一群体的结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 肥胖医学 肥胖医学
背景情况:
- 肥胖在重症患者中带来了独特的营养代谢挑战.
- 临床实践指南对重症肥胖患者 (PwO) 的营养提供缺乏明确的共识.
- 了解能量和蛋白质摄入的影响对于普华永道的结果至关重要.
研究的目的:
- 评估能量和蛋白质摄入量对肥胖重症患者的影响.
- 分析与PwO营养供应充足度相关的结果.
- 确定影响PwO接受医学营养治疗的死亡率和存活率的因素.
主要方法:
- 一项多中心前性观察研究,涉及37个中心.
- 包括需要医疗营养治疗 (MNT) 的成年患者,重点是PwO (BMI ≥30Kg·m-2).
- 对人口统计数据,并发症,营养状况,能量和蛋白质输送 (前14天),并发症和结果的分析,根据CPG建议按充分性分类.
主要成果:
- 在525名 (28.6%) 患者中,有150名患者患有肥胖症.
- 充足的能量供应 (≥11 Kcal/Kg/d) 与较低的ICU死亡率 (16.5%与32.6%) 和更长的住院时间有关.
- 在94.6%的PwO中,蛋白质供应经常不足 (<0.8g/Kg/d) 或不足 (0.8-1.2g/Kg/d);供应不足与较低的ICU死亡率相比,与供应不足有关.
- 多变量分析表明,充足的能量和不足的蛋白质供应与更好的生存率有关.
结论:
- 在重症监护室住院期间,患有肥胖症的重症患者经常经历不足的能量和蛋白质供应.
- 在PwO中,低于最佳的医学营养治疗可能会显著影响短期死亡率.
- 制定优化MNT输送的策略对于改善肥胖重症患者的治疗结果至关重要.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
54
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...
54
01:29Acute Respiratory Failure-V
113
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
113
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
161
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...
161
01:30Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
294
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
294
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
85
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,...
85