危急疾病后的营养恢复:朝着个性化,多式联络的方法

Claire Dupuis^1,2, Jean Charles Preiser³

¹Department of Intensive Care, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Érasme, Brussels, Belgium.

Current opinion in clinical nutrition and metabolic care

|December 29, 2025

概括

重症监护室 (ICU) 的幸存者经常面临营养不良和肌肉衰竭. 个性化营养和康复对于恢复至关重要,改善肌肉质量并减少ICU后的残疾.

科学领域:

关键护理医学关键护理医学
营养科学营养科学
康复医学是康复的医学.

背景情况:

重症监护病房 (ICU) 的幸存者经常经历持续的肌肉衰竭,营养不良和功能衰退,这些症状被统称为重症监护病房后综合征 (PICS).
关键病后生存率的提高凸显了应对长期康复挑战的日益增长的需要.

研究的目的:

审查ICU出院后患者面临的代谢和营养挑战.
强调ICU幸存者的个性化康复策略的临床相关性和及时性.

主要方法:

审查近期关于ICU幸存者的营养状况和能量消耗的证据.
分析导致ICU后营养不平衡的因素.
审查关于个性化营养和康复干预措施的新兴研究.

主要成果:

在康复期间,ICU幸存者通常只能满足50-60%的能量和蛋白质需求,这导致由于支出增加而导致能量不平衡恶化.
过度catabolism,消化不良,固定,和荷尔蒙乱有助于营养状况不佳.
由营养学家指导的个性化营养,结合早期动员和代谢监测,有望改善患者的结果,减少死亡率和并发症.

结论:

从重症监护室到医院后康复,优化营养对于恢复肌肉质量,减少残疾和提高生活质量至关重要.
与康复相结合的多模式,个性化的营养策略是有效的ICU后康复的基础.
这些综合战略应成为未来临床研究和实施工作的主要重点.

关键词:

危急的疾病危急的疾病.营养营养营养营养个性化医疗是个性化的医疗.后重症监护综合征在重症监护后重症监护综合征康复康复康复康复康复康复

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