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持续性炎症,免疫抑制和代谢综合征:对一个日益严重的问题的一种新视角
Sara Scarlet1, Erin Vanzant1, Letita Bible1
1Department of Surgery, Division on Acute Care Surgery, University of Florida, Gainesville, Florida, USA.
概括
危急病患者可能会出现持续性炎症,免疫抑制和代谢综合征 (PICS-1). 本综述探讨了PICS-1患者的营养支持策略,解决了当前基于证据的指南中的差距.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
背景情况:
- 营养支持对重症患者至关重要.
- 越来越多的患者表现出持续性炎症,免疫抑制和代谢综合征 (PICS-1),这是一个烂的多器官功能障碍状态.
- 改进的重症监护管理导致生存率增加,使PICS-1更为普遍.
研究的目的:
- 描述PICS-1的起源和流行病学.
- 对PICS-1患者的潜在营养补充剂进行审查.
- 为解决PICS-1缺乏具体的基于证据的营养指南的问题.
主要方法:
- 文献综述侧重于PICS-1. 这是一篇关于PICS-1.
- 对PICS-1群体的流行病学讨论.
- 探索与PICS-1相关的营养干预措施.
主要成果:
- 皮克斯-1是一个新出现的综合征,在重症的幸存者.
- 目前的文献缺乏关于PICS-1的营养支持的具体指导.
- 潜在的营养策略可能会影响临床结果.
结论:
- PICS-1代表了一种独特的临床实体,需要进一步研究.
- 对于PICS-1患者,需要基于证据的营养支持协议.
- 对向营养补充剂的进一步研究是有必要的.
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