三个隔间的肠外营养袋是否符合当前欧洲成人指南:一项模拟研究
Marta de Antonio-Cuscó1, Agustí Albalat-Torres2, Javier Mateu-de Antonio3
1Servicio de Farmacia, Hospital del Mar, Barcelona, Spain; Servicio de Farmacia, Hospital de Figueres, Fundació Salut Empordà (FSE), Figueres, Spain.
商用三隔间亲肠营养袋 (3CPNBs) 在满足营养指南方面显示出显著的变化. 许多3CPNB无法满足各种患者需求,这凸显了关键评估的必要性和医院复合体内营养袋 (HCPNB) 的持续作用.
科学领域:
- 临床营养学 临床营养学
- 父母肠道营养是一种营养.
- 营养支持营养支持
背景情况:
- 三个隔间的肠外营养袋 (3CPNBs) 与医院复合肠外营养袋 (HCPNBs) 相比,可以节省时间和成本.
- 根据目前的欧洲指南,商业3CPNBs的营养充足性的证据有限.
研究的目的:
- 为了评估西班牙商用3CPNB的营养充足度.
- 评估3CPNB与欧洲亲肠道和肠道营养学会 (ESPEN) 在四个临床场景中针对成年患者的指导方针.
主要方法:
- 一项基于模拟的研究评估了西班牙35家商业3CPNB的蛋白质和热量含量.
- 使用了四种临床场景 (ICU,手术,医疗) 和4000名模拟患者.
- 营养充足被定义为符合ESPEN指南的蛋白质和卡路里的±5%.
主要成果:
- 在所有情景中,超过一半 (51.4%) 的3CPNB配方符合充分性标准.
- 34.3%的人只适合一个场景,8.6%的人不适合任何场景.
- 超过一半 (57.1%) 无法满足模拟患者的10%的需求,ICU场景显示覆盖率最低.
结论:
- 根据ESPEN指南,商业3CPNB的营养充足度存在显著的变化.
- 许多3CPNB配方不适合特定患者群体或临床情景.
- 医院复合肠外营养袋 (HCPNBs) 仍然是一个灵活和必要的替代方案,特别是对于复杂或危急病患者.
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