为改善儿科重症监护环境中婴儿和幼儿的能量和蛋白质供应而改进料:一个范围审查
Jacinta Winderlich1,2,3, Bridget S Little4, Cassandra Bendall2
1Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne 3000, Australia.
Nutrition reviews
|August 13, 2025
概括
在儿科重症监护室 (PICU) 中优化营养至关重要. 这次审查发现了各种料修改方法,但缺乏一致的定义和以患者为中心的结果,突出了需要进一步研究的需要.
科学领域:
- 儿科重症监护营养营养 儿科重症监护营养
- 新生儿和婴儿营养新生儿和婴儿营养
- 临床营养研究 临床营养研究
背景情况:
- 在儿科重症监护室 (PICU) 达到最佳的能量和蛋白质目标是具有挑战性的.
- 重症儿童的低最佳营养与不良结果有关.
- 料修改是提高营养摄入量的常见策略,但缺乏标准化的指导.
研究的目的:
- 探索儿童重症监护中料改造的定义,概念,方法和证据.
- 确定改善PICU中婴儿和幼儿的能量和蛋白质供应的策略.
- 评估当前文献状况,并确定实践指南中的差距.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的方法进行了范围审查.
- 包括2010年至2025年1月期间发表的英语研究 (不包括评论).
- 研究的重点是PICU中5岁以下儿童的料修改.
主要成果:
- 包括14项研究,其中大多数研究自2020年以来发表.
- 十项研究是随机对照试验,主要研究先天性心脏病.
- 干预措施包括缩婴儿配方奶粉,准备养的配方奶粉和挤出来的母乳;"料修改"的术语不一致.
结论:
- 在PICU设置中采用各种料修改技术,但定义和方法不一致.
- 目前的研究缺乏以患者为中心的结果和专家共识,阻碍了实践指南的制定.
- 需要进一步的研究,以建立标准化方法来修改料,以改善营养差距和患者的结果.
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