营养评估与管理在左心室辅助装置植入患者治疗中应用的研究进展

doi:10.3761/j.issn.2096-7446.2025.02.021

摘要/Abstract

摘要：

原位心脏移植是终末期心力衰竭患者治疗的金标准，但供体稀缺限制了其应用。左心室辅助装置（left ventricular assist device，LVAD）成为目前终末期心力衰竭患者的重要治疗手段，但大多数LVAD植入患者由于疾病进展而出现中重度营养不良。该文就LVAD植入患者营养不良原因、营养评估意义和内容、营养评估工具和全程营养管理进行综述，旨在帮助医护人员为LVAD植入患者进行早期营养评估和全程营养管理提供参考。

关键词: 左心室辅助装置, 营养评估, 营养管理, 综述文献（主题）

Abstract:

Orthotopic heart transplantation is the gold standard for the treatment of patients with advanced heart failure（AHF），but the scarcity of organs limits its application. Left ventricular assist device（LVAD） become the important treatment for AHF patients. However，most LVAD implanted patients develop moderate to severe malnutrition due to disease progression. This article reviews the causes of malnutrition in patients with LVAD implantation，the significance and content of nutrition assessment，nutrition assessment tools and whole-course nutrition management，so as to help medical staff to provide a reference for early nutritional assessment and whole-course nutrition management in patients with LVAD implantation.

Key words: Left Ventricular Assist Device, Nutritional Assessment, Nutrition Management, Review Literature as Topic

何晓娣, 孔敏坚, 王伊钶, 陈媛儿, 兰美娟. 营养评估与管理在左心室辅助装置植入患者治疗中应用的研究进展[J]. 中华急危重症护理杂志, 2025, 6(2): 247-251.

HE Xiaodi, KONG Minjian, WANG Yike, CHEN Yuaner, LAN Meijuan. Research progress in the application of nutritional assessment and management in the treatment of patients with left ventricular assist device implantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 247-251.

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