肠道营养在中风中的影响:更新的综述
Dailiang Jiang1, Lei Nie2, Xuying Xiang1
1Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Frontiers in nutrition
|April 15, 2025
概括
早期肠道营养 (EEN) 通过预防营养不良和降低死亡率,改善中风患者的治疗结果. 本综述审查了肠道营养 (EN) 方案,包括输管养方法,以提供最佳的中风患者护理.
科学领域:
- 神经学 神经学
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
背景情况:
- 卒中是导致死亡和残疾的主要原因,营养不良是严重的并发症.
- 缺食症经常导致急性中风患者营养不良,对康复产生负面影响.
- 肠道营养 (EN) 对于管理营养状况和改善中风幸存者的结果至关重要.
研究的目的:
- 审查中风患者肠道营养 (EN) 的指示,机会和管理.
- 分析最佳的营养成分组合,用于中风护理中的EN协议.
- 评估与不同的EN交付方法相关的好处和风险.
主要方法:
- 系统审查关于中风中肠道营养的当前文献.
- 鼻胃管 (NGT) 与直接肠管 (DET) 养的分析,包括皮肤内镜胃口 (PEG).
- 评估连续与间歇的EN给药和能量丰富的配方.
主要成果:
- 早期肠道营养 (EEN) 与降低死亡率和营养不良患病率有关.
- 连续的EN显示出比间歇性EN更好的耐受性.
- EN 协议可以改善神经缺陷和运动功能,但可能会增加消化问题和高血糖症.
结论:
- EEN对于改善功能结果和降低中风患者的死亡率至关重要.
- 根据管类型和施用方法量身定制的EN协议对于有效的营养支持至关重要.
- 需要进一步研究最佳的EN组成和管理,以减轻像高血糖症这样的并发症.
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