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膳食纤维对危重症患者常见并发症的影响；特别关注病毒感染；系统评价。

The effects of dietary fiber on common complications in critically ill patients; with a special focus on viral infections; a systematic reveiw.

机构信息

Department of Nutrition, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.

Department of Nutrition, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Immun Inflamm Dis. 2022 May;10(5):e613. doi: 10.1002/iid3.613.

DOI:10.1002/iid3.613
PMID:35478440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9017620/
Abstract

BACKGROUND

Viral infections are mostly highly contagious and may cause widespread health problems. Some studies reported that the dietary fiber (DF) may be effective in reducing the complications of viral infections in intensive care unit (ICU) patients. The present review study aimed to investigate the effect of DF on common complications in critically ill patients with viral infections.

METHODS

A literature review was conducted for the published papers in English from January 2001 to July 2021 using related keywords. Studies with clinical trial or case-control design described the effects of fiber intake on the complications of viral infections in patients admitted to the ICU were collected.

RESULTS

DF may reduce the mortality rate of viral infections through modulating inflammatory processes. A higher intake of DF intake may improve hyperglycemia and impaired glucose tolerance in patients with viral infections. A high-fiber formula in enteral nutrition was reported to reduce the risk of diarrhea in patients with viral infections.

CONCLUSION

DF may reduce the complications of viral infections such as inflammation, diarrhea, hyperglycemia, and mortality in critically ill patients. Future longitudinal studies on the amount and type of DF are warranted.

摘要

背景

病毒感染大多具有高度传染性，可能会导致广泛的健康问题。一些研究报告称，膳食纤维（DF）可能有助于降低重症监护病房（ICU）患者病毒感染的并发症。本综述研究旨在探讨 DF 对病毒性感染危重症患者常见并发症的影响。

方法

使用相关关键词，对 2001 年 1 月至 2021 年 7 月发表的英文文献进行了文献回顾。收集了描述纤维摄入量对 ICU 收治的病毒性感染患者并发症影响的临床试验或病例对照设计的研究。

结果

DF 通过调节炎症过程可能降低病毒感染的死亡率。DF 摄入量较高可能改善病毒性感染患者的高血糖和葡萄糖耐量受损。肠内营养中的高纤维配方可降低病毒性感染患者腹泻的风险。

结论

DF 可能降低危重症患者病毒感染的并发症，如炎症、腹泻、高血糖和死亡率。需要进一步进行关于 DF 数量和类型的纵向研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/7c8956628cf3/IID3-10-e613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/099900328e3c/IID3-10-e613-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/44fa3a854931/IID3-10-e613-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/f1f4777b41a6/IID3-10-e613-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/290400e51913/IID3-10-e613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/7c8956628cf3/IID3-10-e613-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/099900328e3c/IID3-10-e613-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/44fa3a854931/IID3-10-e613-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/f1f4777b41a6/IID3-10-e613-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/290400e51913/IID3-10-e613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1153/9017620/7c8956628cf3/IID3-10-e613-g002.jpg

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