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危重症患者的营养治疗——临床医生当前证据综述

Nutrition therapy in critically ill patients- a review of current evidence for clinicians.

作者信息

Ridley Emma, Gantner Dashiell, Pellegrino Vincent

机构信息

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Australia; Nutrition Department, Alfred Health, Melbourne, Australia.

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Australia; Intensive Care Unit, The Alfred, Melbourne, Australia; Department of Anaesthesia and Perioperative Medicine, Monash University, Melbourne, Australia.

出版信息

Clin Nutr. 2015 Aug;34(4):565-71. doi: 10.1016/j.clnu.2014.12.008. Epub 2015 Jan 7.

Abstract

The provision of nutrition to critically ill patients is internationally accepted as standard of care in intensive care units (ICU). Nutrition has the potential to positively impact patient outcomes, is relatively inexpensive compared to other commonly used treatments, and is increasingly identified as a marker of quality ICU care. Furthermore, we are beginning to understand its true potential, with positive and deleterious consequences when it is delivered inappropriately. As with many areas of medicine the evidence is rapidly changing and often conflicting, making interpretation and application difficult for the individual clinician. This narrative review aims to provide an overview of the major evidence base on nutrition therapy in critically ill patients and provide practical suggestions.

摘要

为重症患者提供营养在国际上被公认为重症监护病房(ICU)的护理标准。营养有可能对患者的治疗结果产生积极影响,与其他常用治疗方法相比相对便宜,并且越来越被视为ICU优质护理的一个标志。此外,我们开始了解其真正的潜力,不当提供营养会产生积极和有害的后果。与医学的许多领域一样,证据迅速变化且常常相互矛盾,这使得个体临床医生难以进行解释和应用。本叙述性综述旨在概述重症患者营养治疗的主要证据基础并提供实用建议。

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