评估临床决策支持系统,以优化成年瘤患者的全腹腔营养
Alexandra Foscolou1, Christina Kostara2, Aristea Gioxari1
1Department of Nutritional Science and Dietetics, School of Health Sciences, 24100 Kalamata, Greece.
Nutrients
|February 27, 2026
概括
准备好使用的亲肠道营养 (PN) 配方在瘤患者中经常低于微量营养素. 临床决策支持系统 (CDSS) 可以帮助识别营养缺口,并指导补充剂以获得更好的患者护理.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 医疗信息学 医疗信息学
背景情况:
- 瘤学中全方位肠道营养 (TPN) 处方是复杂的,往往导致营养剂量错误.
- 临床决策支持系统 (CDSS) 可以帮助管理复杂的TPN处方.
- 标准化,即时使用的PN配方可能无法满足个体患者的需求.
研究的目的:
- 量化CDSS规定的TPN与注射的即用PN配方之间的差异.
- 在常规临床实践中识别特定营养素的不足或过量剂量.
- 评估CDSS在优化瘤患者的TPN中的实用性.
主要方法:
- 一项涉及40名住院成人瘤病患者的横截面研究.
- 利用CDSS计算基于ASPEN方程的个人营养需求.
- 将CDSS计算的需求与可用的标准化即用TPN公式进行比较.
主要成果:
- 准备好使用的TPN完全满足了宏观营养素需求.
- 微量营养素摄入量不足,需要在TPN袋中补充 (例如,氨基酸+21.1%,脂质+8.4%).
- 在Na (-30.5%),K (-50.6%) 和Ca (-51.7%) 等电解质方面发现了显著的缺陷.
结论:
- 通过识别合适的商业PN解决方案,CDSS可以简化PN处方.
- CDSS帮助医生评估和解决患者的额外营养需求.
- 在CDSS支持下优化TPN可以改善瘤患者的营养供应.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
1.2K
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
1.2K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.3K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.3K
Peritoneal Dialysis III: Nursing Management
1.1K
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
1.1K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
972
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
972
Kidney Transplant III: Nursing Management
454
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
454
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.9K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.9K

