喂养不耐受,我们应该如何定义?  

Feeding intolerance:how to define?

作　　者：李建波[1] 尹万红[1] 邹同娟 许媛[2] 何伟[3] Li Jianbo;Yin Wanhong;Zou Tongjuan;Xu Yuan;He Wei(Department of Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Critical Care Medicine,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China;Department of Critical Care Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]四川大学华西医院重症医学科,成都610041 [2]清华大学附属北京清华长庚医院重症医学科,北京102218 [3]首都医科大学附属北京同仁医院重症医学科,北京100730

出　　处：《中华重症医学电子杂志》2022年第4期299-303,共5页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

摘　　要：许多真实世界研究表明,喂养不耐受(FI)监测是确保肠内营养(EN)成功实施的必要条件,并作为评估EN实施过程顺利与否的核心指标,被国际主流营养指南和专家共识所推荐。然而,目前仍然没有统一的临床定义或判定标准,导致相关研究结果的解读困境,阻碍了对防治措施有效性的科学评估,不利于后续研究的深入开展。本文就如何定义FI进行论述,同时提出以患者结局为中心的FI症状群概念,以期为临床正确认识与定义FI提供新思路。Numerous real-world studies have shown that the monitoring of feeding intolerance(FI)is necessary to ensure that enteral nutrition(EN)is successful,and is recommended by the main international nutrition guidelines and expert consensus as a core item to evaluate EN implementation.However,there is still no unified clinical definition or criteria about FI at present,which leads to difficulties in results interpretation of relevant research,hindering effective evaluation of approaches for FI preventing or treatment as well as impeding further study in more depth.We review literatures on how to define FI and put forward outcome-centered concept of FI symptom group,to provide a novel idea for understanding and defining clinical FI.

关 键 词：喂养不耐受 肠内营养 定义 重症超声 

分 类 号：R459.3[医药卫生—治疗学]