急性肠系膜缺血患者营养支持的范围综述

doi:10.3761/j.issn.2096-7446.2023.02.004

摘要/Abstract

摘要： 目的对急性肠系膜缺血患者的营养支持进行范围综述,分析其营养支持方式、途径、时间、配方及结局评价指标,为临床实践及后期研究提供参考。方法采用Arksey等提出、Levac等细化的范围综述方法框架,检索中国知网、中国生物医学文献数据库、维普中文科技期刊数据库、万方数据库、Cochrane Library、PubMed、Elsevier数据库中相关研究,检索时间为建库至2022年10月。对纳入文献进行筛选、汇总和分析。结果共纳入10篇文献,其中中文4篇、英文6篇,发表时间为1974年—2020年,分析总结了营养支持方式及途径、肠外营养配方、肠内营养启动时间及评估指标、肠内营养配方和结局评价指标。结论营养支持改善了急性肠系膜缺血患者临床结局,但缺乏营养风险筛查、早期肠内营养支持及出院后营养随访方面的研究,未来需开展更多研究探讨营养支持在急性肠系膜缺血患者中的运用,从而形成规范及指南。

关键词: 肠系膜缺血, 营养支持, 肠内营养, 肠外营养, 危重病护理, 范围综述

Abstract: Objective To perform a scoping review on nutritional support in patients with acute mesenteric ischemia,describe the mode,approach,time,formula and outcome evaluation index of nutritional support in order to provide reference for clinical work and later research. Methods A literature search was performed in the CNKI,CBM,VIP,Wanfang,Cochrane Library,PubMed,Elsevier databases to identify relevant studies following the framework of scoping review which was proposed by Arksey et al. and refined by Levac et al. The time was from the establishment of the database to October 2022. The included literature was screened,summarized and analyzed. Results A total of 10 articles were included,including 4 in Chinese and 6 in English,published from 1974 to 2020. The methods and approaches of nutritional support,parenteral nutrition formula,enteral nutrition initiation time and evaluation indexes,enteral nutrition formula and outcome evaluation indexes were analyzed and summarized. Conclusion Nutritional support improves the clinical outcome of patients with acute mesenteric ischemia,but there is a lack of research on nutrition screening,early enteral nutrition support and nutritional follow-up after discharge. In the future,more studies need to be carried out to explore the application of nutritional support in patients with acute mesenteric ischemia to form norms and guidelines.

Key words: Mesenteric Ischemia, Nutritional Support, Enteral Nutrition, Parenteral Nutrition, Critical Care Nursing, Scoping Review

向波, 刘丽萍, 黄萍. 急性肠系膜缺血患者营养支持的范围综述[J]. 中华急危重症护理杂志, 2023, 4(2): 119-124.

XIANG Bo, LIU Liping, HUANG Ping. Nutritional support in patients with acute mesenteric ischemia: a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(2): 119-124.

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