ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2025 , Vol. 6 >Issue 2: 247 - 251

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.02.021

综述

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

  • 何晓娣 ,
  • 孔敏坚 ,
  • 王伊钶 ,
  • 陈媛儿 ,
  • 兰美娟
展开
  • 310009 杭州市 浙江大学医学院附属第二医院护理部（何晓娣，王伊钶，兰美娟），心脏大血管外科（孔敏坚，陈媛儿）
何晓娣：女，副主任护师，护士长，E-mail：hexiaodi@zju.edu.cn

收稿日期: 2024-04-01

  网络出版日期: 2025-01-22

基金资助

浙江省医药卫生科技计划项目(2023KY731)

收起

Research progress in the application of nutritional assessment and management in the treatment of patients with left ventricular assist device implantation

  • HE Xiaodi ,
  • KONG Minjian ,
  • WANG Yike ,
  • CHEN Yuaner ,
  • LAN Meijuan
Expand

Received date: 2024-04-01

  Online published: 2025-01-22

Fold

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）

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2025.02.021

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

参考文献

[1] 王琳, 翁峰霞, 卫建华, 等. 3例左心室辅助装置植入患者术后危重期的护理[J]. 中华护理杂志, 2023, 58(19):2401-2405.
  Wang L, Weng FX, Wei JH, et al. Nursing care of 3 patients with critical complications after left ventricular assist device implantation[J]. Chin J Nurs, 2023, 58(19):2401-2405.
[2] Clancy MJ, Jessop AB, Eisen H. Assessment of pre-operative psychosocial function among people receiving left ventricular assist devices:a national survey of US LVAD programs[J]. Heart Lung, 2019, 48(4):302-307.
[3] 胡盛寿, 王现强, 周星彤. 心室辅助装置治疗心力衰竭:现状和下一步思考[J]. 中国循环杂志, 2023, 38(8):791-793.
  Hu SS, Wang XQ, Zhou XT. Ventricular assist devices for the treatment of heart failure:current state and future prospects[J]. Chin Circ J, 2023, 38(8):791-793.
[4] Genev I, Yost G, Gregory M, et al. Improved nutrition status in patients with advanced heart failure implanted with a left ventricular assist device[J]. Nutr Clin Pract, 2019, 34(3):444-449.
[5] Rahman A, Jafry S, Jeejeebhoy K, et al. Malnutrition and ca-chexia in heart failure[J]. JPEN J Parenter Enteral Nutr, 2016, 40(4):475-486.
[6] Yasuhara S, Maekawa M, Bamba S, et al. Energy metabolism and nutritional status in hospitalized patients with chronic heart failure[J]. Ann Nutr Metab, 2020, 76(2):129-139.
[7] Vest AR, Chan M, Deswal A, et al. Nutrition,obesity,and ca-chexia in patients with heart failure:a consensus statement from the heart failure society of America scientific statement-scommittee[J]. J Card Fail, 2019, 25(5):380-400.
[8] Ogawa M, Izawa KP, Satomi-Kobayashi S, et al. Effects of pos-toperative dietary intake on functional recovery of patients undergoing cardiac surgery[J]. Nutr Metab Cardiovasc Dis, 2019, 29(1):90-96.
[9] Felpel K, Palmese L, Urrutia L, et al. Nutritional assessment and comparison of nutritional indices in predicting adverse outcomes in patients undergoing left ventricular assist device implantation[J]. Nutrition, 2021, 89:111287.
[10] Vitale C, Jankowska E, Hill L, et al. Heart Failure Associa-tion/European Society of Cardiology position paper on frailty in patients with heart failure[J]. Eur J Heart Fail, 2019, 21(11):1299-1305.
[11] 叶绍东, 陈纪春, 刘鹏举, 等. 中国高龄患者心脏围术期营养评估专家共识[J]. 中华老年心脑血管病杂志, 2023, 25(4):361-367.
  Ye SD, Chen JC, Liu PJ, et al. Expert consensus on perio-perative nutritional assessment of elderly patients in China[J]. Chin J Geriatr Heart Brain Vessel Dis, 2023, 25(4):361-367.
[12] Rose AV, Duhamel T, Hyde C, et al. Randomised controlled trial protocol for the PROTECT-CS Study:protein to Enhance outComes of (pre)frail paTients undergoing Cardiac Surgery[J]. BMJ Open, 2021, 11(1):e037240.
[13] Holdy K, Dembitsky W, Eaton LL, et al. Nutrition assessment and management of left ventricular assist device patients[J]. J Heart Lung Transplant, 2005, 24(10):1690-1696.
[14] 中国医疗保健国际交流促进会心脏重症专业委员会, 中国心脏重症营养支持专家委员会. 中国成人心脏外科围手术期营养支持治疗专家共识(2019)[J]. 中华危重病急救医学, 2019, 31(7):801-810.
  Cardiac Critical Care Committee of China Inter-national Ex-change and Promotion Association for Medical and Health-care,Chinese Expert Committee of Nutritional Support for Cardiac Critical Care. Chinese consensus guideline for nutri-tion support therapy in the perioperative period of adult car-diac surgery in 2019[J]. Chin Crit Care Med, 2019, 31(7):801-810.
[15] Aggarwal A, Kumar A, Gregory MP, et al. Nutrition assessment in advanced heart failure patients evaluated for ventricular assist devices or cardiac transplantation[J]. Nutr Clin Pract, 2013, 28(1):112-119.
[16] Yost G, Gregory M, Bhat G. Short-form nutrition assessment in patients with advanced heart failure evaluated for ventricular assist device placement or cardiac transplantation[J]. Nutr Clin Pract, 2014, 29(5):686-691.
[17] Yost G, Tatooles A, Bhat G. Preoperative nutritional assess-ment with the prognostic nutrition index in patients undergo-ing left ventricular assist device implantation[J]. ASAIO J, 2018, 64(1):52-55.
[18] Milaniak I, Tomaszek L, Wi?niowska-?mia?ek S, et al. Nutritio-nal risk assessment and adverse events in patients under-going left ventricular assist device implantation-a retrospective cohort study using hospital information system[J]. J Clin Med, 2023, 12(22):7181.
[19] Balcioglu O, Kahraman ü, Ertugay S, et al. Association of nutri-tional risk index with continuous flow left ventricular assist device complications[J]. Transplant Proc, 2023, 55(5):1278-1282.
[20] Uribarri A, Rojas SV, Hanke JS, et al. Prognostic value of the nutritional risk index in candidates for continuous flow left ventricular assist device therapy[J]. Rev Esp Cardiol, 2019, 72(8):608-615.
[21] Saito A, Amiya E, Hatano M, et al. Controlling nutritional status score As a predictive marker for patients with implantable left ventricular assist device[J]. ASAIO J, 2020, 66(2):166-172.
[22] Malekahmadi M, Pahlavani N, Firouzi S, et al. Effect of enteral immunomodulatory nutrition formula on mortality and critical care parameters in critically ill patients:a systematic review with meta-analysis[J]. Nurs Crit Care, 2022, 27(6):838-848.
[23] Esteban-Fernández A, Villar-Taibo R, Alejo M, et al. Diagnosis and management of malnutrition in patients with heart failure[J]. J Clin Med, 2023, 12(9):3320.
Options
文章导航

/

〈 〉