重症监护病房患者胃肠道喂养各种方法的缺点：一项系统综述。
Disadvantages of various methods of gastrointestinal feeding in patients admitted to the intensive care unit: A systematic review.
作者信息
Mousazadeh Noushin, Hakimi Hamideh, Sharif-Nia Hamid, Dorri Safoura
机构信息
Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
出版信息
Caspian J Intern Med. 2024 Oct 19;16(1):28-36. doi: 10.22088/cjim.16.1.28. eCollection 2025 Winter.
BACKGROUND
Gastrointestinal tube feeding is one of the most important and beneficial methods of nutrition in patients admitted to the intensive care unit. There is still no consensus on the best nutritional method that will lead to fewer complications. This study aimed to investigate the disadvantages of different methods of tube feeding in patients admitted to the adult intensive care unit.
METHODS
The present study is a review study conducted in 2022. Articles published in the English language databases including Web of Science, Scopus, Science Direct, and PubMed, between 2000 and 2022 were used.
RESULTS
In the initial search phase, 2893 articles were obtained. In the next step, after the review of titles and abstracts, 760 articles remained. Finally, based on inclusion criteria and full text review, 14 related articles were selected. Disadvantages of tube feeding methods were classified into four categories: "respiratory complications", "gastrointestinal complications", "metabolic complications" and "bed occupancy".
CONCLUSIONS
Based on the results of this study, in terms of complications, intermittent and continuous methods are safer and more preferable than the bolus method. However, low-speed bolus feeding has fewer side effects.
背景
胃肠道管饲是重症监护病房患者最重要且有益的营养支持方法之一。对于哪种最佳营养方法能减少并发症，目前尚无共识。本研究旨在调查成年重症监护病房患者不同管饲方法的弊端。
方法
本研究为2022年开展的一项综述研究。使用了2000年至2022年间发表在包括科学引文索引、Scopus、Science Direct和PubMed在内的英文数据库中的文章。
结果
在初始检索阶段，共获得2893篇文章。下一步，在对标题和摘要进行审查后，剩下760篇文章。最后，根据纳入标准和全文审查，选择了14篇相关文章。管饲方法的弊端分为四类：“呼吸并发症”、“胃肠道并发症”、“代谢并发症”和“床位占用”。
结论
根据本研究结果，就并发症而言，间歇和持续管饲方法比推注法更安全、更可取。然而，低速推注喂养的副作用较少。
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