早期肠道营养支持和重症儿童的临床结果:一个范围审查
Marina Maffeo1, Gabriele Caggianelli2, Emanuele Buccione1
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Intensive & critical care nursing
|January 20, 2026
概括
儿科重症监护室 (PICU) 的早期肠道营养 (EEN) 与更短的通风时间和住院时间有关. 加强护理角色和协议可以改善重症儿童的营养和康复.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 营养科学 营养科学
- 基于证据的实践实践.
背景情况:
- 儿童营养不良在重症儿童中很常见,影响生长和康复.
- 早期肠道营养 (EEN) 是一种在儿科重症监护室 (PICU) 打击营养不良的策略.
- 有证据表明,EEN有利于结果,但可行性和影响需要进一步研究.
研究的目的:
- 审查关于重症儿童EEN的证据.
- 评估EEN对机械通风,停留时间和感染风险的影响.
- 确定在PICU中实施EEN的障碍和促进者.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行范围审查.
- 在主要数据库 (PubMed,Embase,Scopus,CINAHL,Cochrane Library) 中进行搜索.
- 包括对接受EEN的儿童 (1个月-18岁) 在PICU入院后48小时内进行的研究.
主要成果:
- 14项研究符合纳入标准;大多数是队列研究.
- EEN与减少机械通风持续时间相关 (p=0.002).
- 与较短的PICU/住院时间 (p<0.001) 和较低的感染率 (p=0.001) 相关的EEN.
结论:
- 24-48小时内EEN显示出有利的结果,但可行性/安全性数据有限.
- 提高护理自主性和标准化养路径可以改善营养供应.
- 多学科的团队合作和护士领导的协议促进了EEN的实施.
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