危重症成年患者的肠外营养：一项叙述性综述

Parenteral Nutrition in the Critically Ill Adult: A Narrative Review.

作者信息

Nguyen Christopher, Singh Gaurav, Rubio Karen, Mclemore Karen, Kuschner Ware

机构信息

Pulmonary, Critical Care and Sleep Medicine Section, Veterans Affairs Palo Alto Health Care System, Division of Pulmonary, Allergy, and Critical Care Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.

Department of Intensive Care Medicine, Kaiser Oakland Medical Center, Oakland, CA, USA.

出版信息

J Intensive Care Med. 2025 Aug;40(8):829-838. doi: 10.1177/08850666241246748. Epub 2024 Apr 11.

DOI:10.1177/08850666241246748

PMID:38602149

Abstract

Malnutrition in adult intensive care unit patients is associated with poor clinical outcomes. Providing adequate nutritional support to the critically ill adult should be an important goal for the intensivist. This narrative review aims to delineate the role of parenteral nutrition (PN) in meeting nutritional goals. We examined the data regarding the safety and efficacy of PN compared to enteral nutrition. In addition, we describe practical considerations for the use of PN in the ICU including patient nutritional risk stratification, nutrient composition selection for PN, route of PN administration, and biochemical monitoring.

摘要

成人重症监护病房患者的营养不良与不良临床结局相关。为重症成年患者提供充足的营养支持应是重症监护医生的重要目标。本叙述性综述旨在阐述肠外营养（PN）在实现营养目标方面的作用。我们研究了与肠内营养相比，PN的安全性和有效性的数据。此外，我们还描述了在重症监护病房使用PN的实际注意事项，包括患者营养风险分层、PN的营养成分选择、PN的给药途径以及生化监测。