危急病患者仅在白天或时间限制的食:范围审查
Jessie Welbourne1,2, Rory Heath1,3, Daniel Martin1,2
1Peninsula Medical School, University of Plymouth, UK.
Journal of the Intensive Care Society
|September 15, 2025
概括
在重症患者中,只在白天限制食可能会增加症和降低胃酸度. 然而,关于这种养策略的益处和危害的证据受到小样本大小和不一致的结果的限制.
科学领域:
- 关键护理医学 关键护理医学
- 营养支持 营养支持
- 循环生物学的日间生物.
背景情况:
- 时间限制养 (TRF) 在长期研究中显示了健康益处.
- 在重症监护室 (ICU) 中的重症患者通常会得到持续的食.
- 在重症患者中,仅白天食与夜间禁食的效果尚不清楚.
研究的目的:
- 进行对已发表的证据进行范围审查,以评估在重症患者中仅白天食与夜间禁食的证据.
- 了解有关这种养策略的研究范围和类型.
主要方法:
- 在2023年7月进行了对多个数据库 (Embase,Medline,CINAHL,PROSPERO,Cochrane,Web of Science) 的全面搜索.
- 乔安娜·布里格斯研究所 (JBI) 框架指导了审查过程.
- 包括涉及危急病患者,夜间禁食时间至少为6小时的研究.
主要成果:
- 1989年至2023年间发表的14项涉及868名参与者的研究符合纳入标准.
- 患者队列包括一般,混合,神经外科和儿科ICU.
- 仅在白天食与症增加和胃酸降低有关.
结论:
- 在重症患者中,只在白天食已被探索,可能会增加症并降低胃酸度.
- 目前的证据基础受到小样本规模和不一致的定义结果的限制.
- 需要进一步的研究来澄清这种养方法的潜在益处和危害.
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