ICU患者再喂养综合征风险预测模型的研究进展  

Risk prediction models of refeeding syndrome in ICU patients: a review of literature

作　　者：杨帅[1] 于红静[1] 何家欣 张小蝶 叶笑梅 郭玮 潘靖达 凌冬兰 YANG Shuai;YU Hongjing;HE Jiaxin;ZHANG Xiaodie;YE Xiaomei;GUO Wei;PAN Jingda;LING Donglan(The Second Affiliated Hospital,Guangzhou Medical University,Guangzhou 510260,China;The Hong Kong Polytechnic University,Hong Kong 0000,China)

机构地区：[1]广州医科大学附属第二医院,广东广州510260 [2]香港理工大学,中国香港0000

出　　处：《现代医院》2024年第2期317-319,324,共4页Modern Hospitals

基　　金：广东省卫生健康委员会医学科学基金(2020242);中华医学会杂志社护理学科研究课题(CMAPH-NRG2021028)。

摘　　要：再喂养综合征(refeeding syndrome,RFS)在重症患者中发生率较高,严重影响患者的康复和预后。通过对再喂养综合征的风险因素和风险预测模型进行综述,发现其风险因素包括患者相关因素、治疗相关因素和疾病相关因素三个方面;风险预测模型包括风险分层模型、风险评分模型和Logistic回归模型。预防RFS的发生重点在于早期评估,但目前尚缺乏预测效能良好的RFS风险预测模型。关注营养和血清学指标等多方面因素对RFS的预防有着重要意义,未来需开展前瞻性、多中心研究,以构建预测效能良好的ICU患者RFS风险预测模型,为RFS高危人群的早期评估和早期干预提供参考。Refeeding syndrome(RFS)has a high incidence among critically ill patients and significantly impacts the recovery and prognosis of the patients.In this paper,we reviewed the literature on the risk factors and risk prediction models for RFS,finding the risk factors of RFS included patient-related,treatment-related factors and disease-related factors and the risk prediction models encompassed risk stratification model,risk score models and the Logistic regression models.It was concluded from the review that early assessment was crucial to preventing the occurrence of RFS.However,there was still a lack of reliable RFS risk prediction models with good predictive performance.It was found as well that it was crucial for the prevention of RFS to attach importance to nutritional and serological indicators and other factors.It was expected to be a necessity to conduct prospective and multicenter studies to develop a risk prediction model for predicting RFS for ICU patients.Our review provides a reference for early assessment and intervention for critically ill patients with RFS.

关 键 词：再喂养综合征 重症患者 风险预测模型 综述 

分 类 号：R448[医药卫生—诊断学] R151.41[医药卫生—临床医学]