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本文引用的文献

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A Descriptive Study of enteral tube feeding among adults in an acute care tertiary hospital-patient selection, characteristics and complications.成人在急症三级医院进行肠内管饲的描述性研究——患者选择、特征和并发症。
Clin Nutr ESPEN. 2020 Jun;37:58-64. doi: 10.1016/j.clnesp.2020.03.021. Epub 2020 Apr 16.
2
Impact of Intravenous Fluids and Enteral Nutrition on the Severity of Gastrointestinal Dysfunction: A Systematic Review and Meta-analysis.静脉输液和肠内营养对胃肠功能障碍严重程度的影响:一项系统评价和荟萃分析。
J Crit Care Med (Targu Mures). 2020 Jan 31;6(1):5-24. doi: 10.2478/jccm-2020-0009. eCollection 2020 Jan.
3
Complications Associated with Enteral Nutrition: CAFANE Study.肠内营养相关并发症:CAFANE 研究。
Nutrients. 2019 Sep 1;11(9):2041. doi: 10.3390/nu11092041.
4
Targeted Energy Intake Is the Important Determinant of Clinical Outcomes in Medical Critically Ill Patients with High Nutrition Risk.目标能量摄入是高营养风险的重症医学患者临床结局的重要决定因素。
Nutrients. 2018 Nov 11;10(11):1731. doi: 10.3390/nu10111731.
5
Association of Inadequate Caloric Supplementation with 30-Day Mortality in Critically Ill Postoperative Patients with High Modified NUTRIC Score.高改良 NUTRIC 评分的术后危重症患者热量补充不足与 30 天死亡率的关系。
Nutrients. 2018 Oct 29;10(11):1589. doi: 10.3390/nu10111589.
6
Supplemental Parenteral Nutrition: Review of the Literature and Current Nutrition Guidelines.补充性肠外营养:文献回顾与现行营养指南。
Nutr Clin Pract. 2018 Jun;33(3):359-369. doi: 10.1002/ncp.10096.
7
Appropriateness of peripheral parenteral nutrition use in adult patients at an academic medical center.学术医疗中心成年患者使用外周肠外营养的合理性。
Clin Nutr ESPEN. 2018 Feb;23:117-121. doi: 10.1016/j.clnesp.2017.11.004. Epub 2017 Dec 2.
8
Comparison of Intermittent and Bolus Enteral Feeding Methods on Enteral Feeding Intolerance of Patients with Sepsis: A Triple-blind Controlled Trial in Intensive Care Units.间歇性与推注式肠内营养喂养方法对脓毒症患者肠内营养不耐受情况的比较:一项重症监护病房的三盲对照试验
Middle East J Dig Dis. 2017 Oct;9(4):218-227. doi: 10.15171/mejdd.2017.77.
9
Reliability and Validity of the Turkish Version of the Gastrointestinal Symptom Rating Scale.《胃肠道症状评定量表土耳其语版的信度与效度》
Gastroenterol Nurs. 2017 Jan/Feb;40(1):47-55. doi: 10.1097/SGA.0000000000000177.
10
Age most significant predictor of requiring enteral feeding in head-and-neck cancer patients.年龄是头颈癌患者需要肠内营养支持的最显著预测因素。
Radiat Oncol. 2015 Apr 18;10:93. doi: 10.1186/s13014-015-0408-6.

检查接受肠内和肠外营养的重症监护病房患者的营养、口腔粘膜炎和胃肠道系统症状。

Examining the Nutrition, Oral Mucositis, and Gastrointestinal System Symptoms of Intensive Care Units Patients Receiving Enteral and Parenteral Nutrition.

机构信息

Department of Fundamentals of Nursing, Osmaniye Korkut Ata University Faculty of Health Sciences, Osmaniye, Turkey.

出版信息

Turk J Gastroenterol. 2023 Aug;34(8):813-821. doi: 10.5152/tjg.2023.22125.

DOI:10.5152/tjg.2023.22125
PMID:37404117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544580/
Abstract

BACKGROUND

This descriptive study aims to examine the complications that might develop in patients who receive enteral or parenteral nutrition treatment in intensive care unit in this process and to examine the nutritional status, oral mucositis, and gastrointestinal system symptoms among patients who receive enteral or parenteral nutrition treatment in intensive care unit.

MATERIALS AND METHODS

A sample of this study consists of 104 patients who received enteral or parenteral nutrition treatment in intensive care units between January and June 2019. The data were collected face to face by using Sociodemographic Form, constipation severity scale, Mini Nutritional Assessment Scale, Mucositis Assessment Scale, visual analog scale, and gastrointestinal system Symptoms Scale. The results were calculated as numbers, percentage, SD, and mean values.

RESULTS

Among the participating patients, 67.4% were older than 65 years, 55.8% were female, 42.3% were receiving treatment in internal medicine intensive care units, and 43.4% had severe mucositis. It was determined that 31.7% of the patients receiving treatment in intensive care units required nutrition treatment. It was determined that patients receiving parenteral nutrition had more symptoms such as gastrointestinal system symptoms, mucositis, constipation, and colonic inertia.

CONCLUSIONS

It was determined that when compared to the patients receiving enteral nutrition, the patients receiving parenteral nutrition had higher scores in mucositis, visual analog scale pain, Mini Nutritional Assessment Test, constipation, obstructive defecation, colonic inertia, and gastrointestinal symptom total scores.

摘要

背景

本描述性研究旨在检查重症监护病房中接受肠内或肠外营养治疗的患者可能出现的并发症,并检查接受肠内或肠外营养治疗的重症监护病房患者的营养状况、口腔黏膜炎和胃肠道系统症状。

材料和方法

本研究的样本包括 2019 年 1 月至 6 月期间在重症监护病房接受肠内或肠外营养治疗的 104 名患者。通过使用社会人口学表格、便秘严重程度量表、迷你营养评估量表、黏膜炎评估量表、视觉模拟量表和胃肠道系统症状量表面对面收集数据。结果以数字、百分比、标准差和平均值计算。

结果

在参与的患者中,67.4%的年龄大于 65 岁,55.8%为女性,42.3%在内科重症监护病房接受治疗,43.4%患有严重的黏膜炎。确定重症监护病房中 31.7%的患者需要营养治疗。确定接受肠外营养治疗的患者有更多的胃肠道系统症状、黏膜炎、便秘和结肠惰性等症状。

结论

与接受肠内营养的患者相比,接受肠外营养的患者在黏膜炎、视觉模拟量表疼痛、迷你营养评估测试、便秘、梗阻性排便、结肠惰性和胃肠道症状总评分方面得分更高。