在儿科外体膜氧化中提供营养:证据,挑战和临床考虑
Marwa Mansour1,2, Nicole Knebusch1,2, Andrea Ontaneda1,2
1Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.
为儿科外体膜氧化 (ECMO) 患者优化营养至关重要. 本综述强调了肠道和肠外营养的挑战和策略,以改善重症儿童的治疗结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 营养科学 营养科学
- 支持体外膜氧化 (ECMO) 的支持.
背景情况:
- 营养不良在儿科ECMO患者中很常见,影响临床结果.
- 有效的营养支持在这个人群中至关重要,但具有挑战性.
- 目前关于营养策略的证据需要综合.
研究的目的:
- 审查有关儿科ECMO患者营养策略的现有证据.
- 强调评估方法,养路径和挑战.
- 分析营养支持对临床结果的影响.
主要方法:
- 对2010-2025年研究的文献综述.
- 搜索的数据库:PubMed,Scopus,科学网络.
- 关键词:儿科ECMO,营养,肠道养,亲肠道营养.
主要成果:
- 尽管营养不良的影响很大,但营养支持是高度可变的.
- 肠道营养 (EN) 是首选的,但食不耐症往往需要肠道营养 (PN).
- 早期的EN改善了结果,尽管完全的肠道目标具有挑战性;PN与不良影响有关.
结论:
- 需要个性化评估和结构化养方法.
- 标准化方案和最佳营养时间/成分需要进一步研究.
- 改善营养支持可以提高儿科ECMO患者的结果.
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