ICU患者再喂养综合征管理及预后的研究进展  

Research advances in management and prognosis of refeeding syndrome in ICU patients

作　　者：叶天 杜金磊 叶群 胡中华(综述) 邹晓月(审校)[3] YE Tian;DU Jinlei;YE Qun;HU Zhonghua;ZOU Xiaoyue(Huzhou Normal College,Huzhou,Zhejiang 313200,China;Zigong Municipal Fourth People's Hospital,Zigong,Sichuan 643000,China;Huzhou Municipal First People's Hospital,Huzhou,Zhejiang 313200,China)

机构地区：[1]湖州师范学院,浙江湖州313200 [2]自贡市第四人民医院,四川自贡643000 [3]湖州市第一人民医院,浙江湖州313200

出　　处：《现代医药卫生》2024年第1期127-131,共5页Journal of Modern Medicine & Health

基　　金：四川省科技计划项目(2022JDKP0037);自贡市科技局重点科技计划项目(2022ZCYGY30);自贡市卫生健康委员会科研课题(21zd010);中华医学会杂志社科研课题(CMAPH-NRD2021053)。

摘　　要：再喂养综合征(RFS)是长期营养不良患者重新摄入营养初期机体代谢异常所导致的一系列危及生命的临床症状,由于缺乏特异性,不易辨别,其在ICU患者中死亡率较高。目前,国内学者对RFS的治疗管理和预后影响的研究报道较少,且具体管理措施仍然存在争议。此外,对于RFS预后研究的方法和结论同样存在差异。故该文拟从ICU患者RFS的诊断标准及发生现状、管理现况、疾病预后方面进行系统综述,旨在为医护人员就RFS的管理提供经验借鉴,为后续相关研究提供参考。Refeeding syndrome(RFS) is a series of life-threatening clinical symptoms caused by abnormal metabolism in the early stage of re-intake of nutrition in the patients with chronic malnutrition.Due to the lack of specificity it is difficult to identify,and has higher mortality in ICU patients.At present,there are few studies on the management and prognosis of RFS by domestic scholars,moreover the specific management measures are still controversial.In addition,there are also differences in the methods and conclusions of RFS prognostic studies.Thus this paper systematically reviews the diagnostic criteria,occurrence status,management status and disease prognosis of RFS,aiming at offering the experience to medical staffs on RFS management and providing reference for follow-up related research.

关 键 词：再喂养综合征 重症监护室 管理 预后 综述 

分 类 号：R459.3[医药卫生—治疗学]