胰腺癌患者围手术期营养管理的最佳证据总结  

Summary of the best evidence for perioperative nutrition management in patients with pancreatic cancer

作　　者：袁丽[1] 张海玲 乔晓斐 储霞飞 Yuan Li;Zhang Hailing;Qiao Xiaofei;Chu Xiafei(Department of Biliary and Pancreatic Surgery,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China;Nursing Department,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China;Department of Liver Surgery,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)胆胰外科,合肥230001 [2]中国科学技术大学附属第一医院(安徽省立医院)护理部,合肥230001 [3]中国科学技术大学附属第一医院(安徽省立医院)肝脏外科,合肥230001

出　　处：《中华现代护理杂志》2024年第3期351-357,共7页Chinese Journal of Modern Nursing

基　　金：国家临床重点专科 (国卫办医涵[2018]292号)。

摘　　要：目的检索胰腺癌患者围手术营养管理的最佳证据,为临床优化胰腺癌患者围手术期营养管理方案提供循证依据。方法系统检索Cochrane Library、BMJ Best Practice、UpToDate、英国国家临床优化研究所、PubMed、中国知网、万方数据库、维普数据库、中华医学会网等国内外数据库及营养相关网站中关于胰腺癌患者围手术期营养管理措施的所有证据,检索类型包括临床决策、指南、专家共识、证据总结、系统评价。检索时限均为建库至2023年2月10日。结果共纳入17篇文献,包括8篇指南、6篇专家共识、3篇系统评价。总结包括管理通则、能量和蛋白质需求值、营养风险筛查与评估、营养支持、并发症管理及出院后管理6个方面的26条证据。结论本研究提取胰腺癌患者围手术期营养管理最佳证据的过程具有科学性和严谨性,医务人员可以结合临床实际情况提高胰腺癌患者营养管理质量,促进患者康复。Objective To search the best evidence for perioperative nutrition management in pancreatic cancer patients,so as to provide evidence basis for optimization of perioperative nutrition management in pancreatic cancer patients.Methods Evidence on perioperative nutrition management for pancreatic cancer patients was systematically searched in Cochrane Library,British Medical Journal(BMJ)Best Practice,UpToDate,National Institute for Health and Clinical Excellence,PubMed,China National Knowledge Infrastructure,WanFang Data,VIP,Chinese Medical Association Network and other domestic and foreign databases and nutrition related websites.The search types included clinical decision-making,guidelines,expert consensus,evidence summary,and systematic review.The search period was from database establishment to February 10,2023.Results A total of 17 articles were included,including 8 guidelines,6 expert consensus,and 3 systematic reviews.A total of 26 pieces of evidence were summarized from 6 aspects,including management general principles,energy and protein requirements,nutritional risk screening and assessment,nutritional support,complication management,and post discharge management.Conclusions The process of extracting the best evidence of perioperative nutrition management for pancreatic cancer patients is scientific and rigorous.Medical and nursing staff can improve the quality of nutrition management for patients with pancreatic cancer and promote the recovery of patients according to the actual clinical situation.

关 键 词：胰腺肿瘤 围手术期 营养管理 循证护理 

分 类 号：R473.73[医药卫生—护理学]