Seron-Arbeloa Carlos, Zamora-Elson Monica, Labarta-Monzon Lorenzo, Mallor-Bonet Tomas
Intensive Care Unit, San Jorge Hospital, Avda. Martinez de Velasco 35. 22004 Huesca, Spain.
J Clin Med Res. 2013 Feb;5(1):1-11. doi: 10.4021/jocmr1210w. Epub 2013 Jan 11.
There is a consensus that nutritional support, which must be provided to patients in intensive care, influences their clinical outcome. Malnutrition is associated in critically ill patients with impaired immune function and impaired ventilator drive, leading to prolonged ventilator dependence and increased infectious morbidity and mortality. Enteral nutrition is an active therapy that attenuates the metabolic response of the organism to stress and favorably modulates the immune system. It is less expensive than parenteral nutrition and is preferred in most cases because of less severe complications and better patient outcomes, including infections, and hospital cost and length of stay. The aim of this work was to perform a review of the use of enteral nutrition in critically ill patients.
人们一致认为，必须为重症监护患者提供营养支持，这会影响他们的临床结局。在重症患者中，营养不良与免疫功能受损和通气驱动受损有关，会导致呼吸机依赖时间延长，感染发病率和死亡率增加。肠内营养是一种积极的治疗方法，可减轻机体对压力的代谢反应，并对免疫系统产生有利调节。它比肠外营养便宜，并且在大多数情况下更受青睐，因为其并发症较轻，患者预后更好，包括感染情况、住院费用和住院时间。这项工作的目的是对重症患者肠内营养的使用进行综述。
