在专门的营养支持服务之外使用外围亲肠道营养:描述性队列研究
Alysia Bastas1, Monique Fernandez1, Samuel Hui1
1Department of Gastroenterology, Austin Health, Heidelberg, Victoria, Australia.
JPEN. Journal of parenteral and enteral nutrition
|September 10, 2025
概括
周围亲肠道营养 (PPN) 经常在没有明确的禁忌的情况下不适当地给住院患者开处方. 不必要的PNP使用会增加风险,强调需要由专门的营养支持服务进行管理.
科学领域:
- 临床营养学 临床营养学
- 医院 医院 医疗 医疗 医疗 医疗
- 患者安全 患者安全
背景情况:
- 住院患者通常需要营养支持,因为摄入不良或肠道功能障碍.
- 肠道营养优于亲肠道营养,因为并发症较少,肠道功能恢复更快.
- 这项研究检查了在没有专门的营养支持服务的澳大利亚三级医院中使用外周肠外营养 (PPN) 的情况.
研究的目的:
- 评估PPN使用的指示,不良影响和结果.
- 在现实临床环境中评估PPN处方的适当性.
- 为了确定PPN是否被处方而没有被记录的对肠道营养的禁忌.
主要方法:
- 从2019年5月到2023年12月的PPN处方的回顾性分析.
- 从药房发行和电子医疗记录中收集的数据.
- 包括人口,入院和临床结果数据.
主要成果:
- 761名患者接受了PPN;43.9%的人没有对肠道营养有记录的禁忌.
- 中位数PNP持续时间为3天.
- 血栓炎和静脉血栓形成分别发生在2.0%和0.8%的病例中.
结论:
- 很大一部分的PPN处方是不合适的,缺乏明确的指示.
- 不必要的PNP使用使患者面临可避免的并发症和风险.
- 建议通过专门的营养支持服务来管理PNP处方.
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