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阻碍危重病进展的营养代谢治疗进展。

Advances in nutritional metabolic therapy to impede the progression of critical illness.

作者信息

Chen Wenwei, Song Jia, Gong Shijin

机构信息

The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.

Zhejiang Hospital, Hangzhou, China.

出版信息

Front Nutr. 2024 Jul 5;11:1416910. doi: 10.3389/fnut.2024.1416910. eCollection 2024.

Abstract

With the advancement of medical care and the continuous improvement of organ support technologies, some critically ill patients survive the acute phase of their illness but still experience persistent organ dysfunction, necessitating long-term reliance on intensive care and organ support, known as chronic critical illness. Chronic critical illness is characterized by prolonged hospital stays, high mortality rates, and significant resource consumption. Patients with chronic critical illness often suffer from malnutrition, compromised immune function, and poor baseline health, which, combined with factors like shock or trauma, can lead to intestinal mucosal damage. Therefore, effective nutritional intervention for patients with chronic critical illness remains a key research focus. Nutritional therapy has emerged as one of the essential components of the overall treatment strategy for chronic critical illness. This paper aims to provide a comprehensive review of the latest research progress in nutritional support therapy for patients with chronic critical illness.

摘要

随着医疗护理的进步以及器官支持技术的不断改进,一些重症患者度过了疾病的急性期,但仍存在持续性器官功能障碍,需要长期依赖重症监护和器官支持,这就是所谓的慢性危重病。慢性危重病的特点是住院时间延长、死亡率高和资源消耗巨大。慢性危重病患者常伴有营养不良、免疫功能受损和基础健康状况不佳,再加上休克或创伤等因素,可导致肠黏膜损伤。因此,对慢性危重病患者进行有效的营养干预仍然是一个关键的研究重点。营养治疗已成为慢性危重病整体治疗策略的重要组成部分之一。本文旨在全面综述慢性危重病患者营养支持治疗的最新研究进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8c7/11259093/43d16af2743d/fnut-11-1416910-g001.jpg

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