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中华重症医学电子杂志 ›› 2020, Vol. 06 ›› Issue (04) : 357 -360. doi: 10.3877/cma.j.issn.2096-1537.2020.04.001

所属专题: 重症营养 重症医学 文献 指南共识

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推动危重症患者肠内营养的规范化实施
林佳佳1, 李维勤1,(), 于凯江2   
  1. 1. 210002 南京大学医学院附属金陵医院(东部战区总医院)重症医学科
    2. 150001 哈尔滨医科大学附属第一医院重症医学科
  • 收稿日期:2020-09-24 出版日期:2020-11-28
  • 通信作者: 李维勤
  • 基金资助:
    国家自然科学基金面上项目(81870441); 全军后勤科研重大项目(ALB19J002)

To promote the standardization of implementing enteral nutrition in critically ill patients

Jiajia Lin1, Weiqin Li1,(), Kaijiang Yu2   

  1. 1. Department of Critical Care Medicine, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210002, China
    2. Department of Intensive Care Unit, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2020-09-24 Published:2020-11-28
  • Corresponding author: Weiqin Li
  • About author:
    Corresponding author: Li Weiqin, Email:
引用本文:

林佳佳, 李维勤, 于凯江. 推动危重症患者肠内营养的规范化实施[J/OL]. 中华重症医学电子杂志, 2020, 06(04): 357-360.

Jiajia Lin, Weiqin Li, Kaijiang Yu. To promote the standardization of implementing enteral nutrition in critically ill patients[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2020, 06(04): 357-360.

营养支持是危重症患者管理过程中不可或缺的部分,但使危重症患获益的最佳营养治疗策略仍有待确定。指南所推荐的"早期启动肠内营养(EN)"已得到普遍认可。然而理论和实践的差距影响EN的实施,进而影响患者的预后。基于当下EN实施的现状,如何将理论落实到实践成为提高和推动肠内实施的效率的关键。国外已有研究表明应用喂养流程可以提高EN启动时间,提高热卡达标率,甚至减少患者病死率和住院时间,但是国内却缺乏类似的研究证据。为此,我们制定国内首个喂养流程并启动多中心、整群随机对照研究,为提高EN实践提供临床循证依据。

Nutritional support plays a major role in the management of critically ill patients, but optimal strategy is unclear. Early enteral nutrition (EN) is frequently recommended in many clinical guidelines. However, practice-evidence gap may affect the implementation of EN, leading to the poor outcomes. Hence, translation of evidence into practice is a key factor to improve the enteral feeding performance. Several studies have demonstrated that feeding protocols could achieve earlier EN, enhance the energy target-reaching rate, and reduce the mortality and the length of hospital stay, but there is no similar evidence-based protocols in China. Therefore, we developed the first EN feeding protocol in China and conducted a multi-center, cluster randomized-controlled study to provide evidence-based practice for EN.

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