对于没有受保护的呼吸道的呼吸道缺血性衰竭患者的营养疗法
Sergio Ruiz-Santana1, Carmen Rosa Hernández-Socorro2,3, Pedro Saavedra4
1Department of Medical and Surgical Sciences.
Current opinion in clinical nutrition and metabolic care
|January 14, 2026
概括
在急性缺血性呼吸衰竭 (AHRF) 患者的ICU中使用非侵入性通风 (NIV) 或高流量鼻 (HFNC) 的营养治疗往往导致不充分的食. 需要新的指导方针和研究来改善这些关键患者的营养支持.
科学领域:
- 临界护理医学 临界护理医学
- 营养科学 营养科学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在急性低血量呼吸衰竭 (AHRF) 患者的ICU中进行营养治疗具有独特的挑战.
- 对于非侵入性通风 (NIV) 和高流量鼻 (HFNC) 等非侵入性模式的患者,缺乏营养评估,需求和分娩的既定指南.
研究的目的:
- 审查目前在ICU中没有呼吸道保护的AHRF患者的营养治疗状况.
- 突出挑战和新兴的方法在养这些重症患者.
主要方法:
- 文献综述侧重于ICU患者的营养治疗,其中包括接受非侵入性氧化治疗的AHRF患者.
- 分析食路径,营养需求,耐受性和结果.
主要成果:
- 口服营养是首选的吞后评估,但不充分的养是常见的,特别是与NIV相比HFNC.
- 人工营养未得到充分利用;通过口腔或鼻胃路线的食物营养是一种安全和可行的新兴选择.
- 在接受非侵入性通风的患者中发现了营养摄入不足的高患病率.
结论:
- 在ICU患者中,非侵入性通风管理的AHRF患者的食不足很普遍.
- 需要更新的协议,指南和强有力的研究来优化这一群体的营养护理.
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