在接受非侵入性通风的严重病情的成年人中营养充足:描述性队列研究
Francesca Deli1, Kevin Whelan2, Danielle E Bear1,2,3
1Department of Nutritional Sciences, King's College London, London, UK.
接受非侵入性通风 (NIV) 的重症患者往往获得不充分的口腔营养. 这凸显了为这些处于危险状态的患者在重症监护机构中需要更好的营养策略.
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
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 非侵入性通风 (NIV) 的使用在重症监护中越来越多.
- 在NIV上,有限的证据指导了重症患者的营养实践.
- 本研究描述了这一群体的营养习惯和摄入量充足程度.
研究的目的:
- 为了描述营养实践.
- 为了评估营养摄入的充足性.
- 对于接受非侵入性通风的危急病患者.
主要方法:
- 成年重症监护患者的描述性队列研究.
- 包括接受NIV连续3天以上的患者.
- 仅使用NIV组的营养与后入侵性机械通风 (IMV) 组的营养比较.
主要成果:
- 大多数患者 (64.5%) 仅接受口服营养;30.0% 接受人工营养支持.
- 独家口服营养在只有NIV的组中更为常见 (80.4%),但在大多数 (61.8%) 中是不充分的.
- 肠道营养在IMV后组 (31.9%) 中更为普遍.
结论:
- 在NIV的重症患者是营养危险人群.
- 纯粹的口服营养是常见的,但往往是不充分的.
- 需要对口服摄入障碍和肠道营养可行性的进一步研究.
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