成人体外膜肺氧合患者营养支持进展  

Progress in nutritional support for adult patients with extracorporeal membrane oxygenation

作　　者：邵晓云 陆芹芹[2] 陈书程 Shao Xiaoyun;Lu Qinqin;Chen Shucheng(Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;Intensire Care Unit,phe Second Hospital of Shaoxing,Shoxing 312000,Zhejiang,China;Department of Endocrinology,the Second Hospital of Shaoxing,Shaoxing 312000,Zhejiang,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]绍兴第二医院ICU,浙江绍兴312000 [3]绍兴第二医院内分泌科,浙江绍兴312000

出　　处：《中国中西医结合急救杂志》2020年第6期766-768,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

摘　　要：体外膜肺氧合(ECMO)是一种可同时提供双心室联合呼吸辅助、能经皮置入的机械循环辅助技术,近年来越来越多地被应用于常规生命支持无效的各种急性循环和(或)呼吸衰竭治疗中.ECMO可分为应用于治疗呼吸衰竭的静脉-静脉ECMO(VV-ECMO)和应用于治疗心力衰竭的静脉-动脉ECMO(VA-ECMO),需要ECMO支持的患者往往是重症监护病房(ICU)中病情最严重者,此时机体常处于高分解代谢状态,对能量和蛋白质的需求很高,因此充足的营养支持可避免和纠正营养不良,降低并发症发生率,对ECMO患者康复也起关键作用.但目前尚无针对ECMO患者的营养支持指南,且患者的营养支持达标率较低,亟需制定针对每例患者的营养支持方案.本文从成人ECMO期间营养支持的途径、时机以及营养需求量方面进行综述,以期为ECMO患者的营养支持提供一定的依据.Extracorporeal membrane oxygenation(ECMO)is a kind of mechanical circulatory assist technology which can simultaneously provide bi-ventriculi combined with respiratory assistance and can be implanted percutaneously,and it has been increasingly used in recent years in the treatment of various acute circulatory and/or respiratory failures that are ineffective in conventional life support.ECMO can be divided into veno-venous ECMO(VV-ECMO)for treatment of respiratory failure and veno-arterial ECMO(VA-ECMO)for treatment of heart failure.As ECMO support patients are often the most serious patients in the intensive care unit(ICU),at this time,the body is often in a state of high catabolism,which requires high quantities of energy and protein.Therefore,that sufficient nutritional support can avoid and correct malnutrition and reduce the incidence of complications is the key to ensuring the recovery of ECMO patients.However,there are currently no guidelines directing to nutritional support in ECMO patients,the rate of patients using nutritional support can reach the standard is relatively low,so as an urgent need to develop a nutritional support program for each patient is necessary.This article rev iews the approaches,timing,and amount of nutritional requirements for nutritional support during adult ECMO,so as to provide evidence for nutritional support for ECMO patients.

关 键 词：体外膜肺氧合 能量需求 蛋白质需求 研究进展 

分 类 号：R47[医药卫生—护理学]