Wang Yuan, Xiang Lijun, Luo Yansi, Cao Meng, Song Xuemei, Hong Jing, Zhang Xiaomei
Nanfang Hospital, Southern Medical University No. 1838, Guangzhou Avenue North, Baiyun District, Guangzhou 510515, Guangdong, China.
School of Nursing, Southern Medical University No. 1023-1063, Shatai South Road, Baiyun District, Guangzhou 510515, Guangdong China.
Am J Transl Res. 2022 Nov 15;14(11):8252-8262. eCollection 2022.
OBJECTIVE: To summarize and evaluate the relevant evidence on nutrition management of post-stroke dysphagia (PSD) to provide evidence-based basis for clinical staff. METHODS: We searched evidence in BMJ Best Practice, Up To Date, Cochrane Library, PubMed and so on from their inception to May 31, 2021. The quality assessment was conducted by two researchers by using AGREE II for guidelines, JBI evidence-based health care center evaluate standards for systematic review and expert consensus. RESULTS: An initial searching of 445 literatures resulted in 26 literatures that met inclusion criteria. Finally, a total of 38 pieces of evidence were summarized from 5 aspects including nutrition risk screening and assessment, nutrition support principles, enteral nutrition, parenteral nutrition, and hydration management. CONCLUSIONS: This study summarized the evidence of the nutrition management for PSD patients. Since evidences are from different countries, it's better to assess the clinical environment and other related factors before their application.
目的:总结和评估脑卒中后吞咽困难(PSD)营养管理的相关证据,为临床工作者提供循证依据。 方法:检索BMJ最佳实践、Up To Date、考克兰图书馆、PubMed等数据库自建库至2021年5月31日的证据。由两名研究人员采用AGREE II指南、JBI循证卫生保健中心系统评价标准和专家共识进行质量评估。 结果:初步检索445篇文献,筛选出26篇符合纳入标准的文献。最终从营养风险筛查与评估、营养支持原则、肠内营养、肠外营养和水化管理5个方面共总结出38条证据。 结论:本研究总结了PSD患者营养管理的证据。由于证据来自不同国家,在应用前最好评估临床环境及其他相关因素。
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