重症俯卧位通气患者肠内营养策略的研究进展  

Advances in enteral nutrition strategies for critically ill patients undergoing prone position ventilation

作　　者：江利冰[1] 王承妃 徐善祥[1] 张宏宇 Jiang Libing;Wang Chengfei;Xu Shanxiang;Zhang Hongyu(Department of Emergency Medicine,Second Affiliated Hospital,Zhejiang University School of Medicine,Zhejiang Key Laboratory of Trauma,Burn,and Medical Rescue,Zhejiang Province Clinical Research Center for Emergency and Critical Care Medicine,Hangzhou 310009,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院急诊医学科/全省严重烧伤诊治与应急救援重点实验室/浙江省急危重症临床医学研究中心,浙江杭州310009

出　　处：《中国中西医结合急救杂志》2024年第4期491-494,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省自然科学基金(LQ20H150006)。

摘　　要：俯卧位通气是伴有顽固性低氧呼吸衰竭的重要治疗手段,新型冠状病毒感染(COVID-19)的出现使得俯卧位通气的地位进一步提升.早期肠内营养被认为是改善危重症患者预后的重要措施.然而,俯卧位期间进行肠内营养尚存在不少的争议.本文对COVID-19出现前后关于俯卧位肠内营养耐受性和安全性的研究进展进行了综述,同时总结和讨论了提高俯卧位肠内营养耐受性的关键策略,以期为临床提供参考.Prone position ventilation(PPV)is an essential therapeutic intervention for patients with refractory hypoxemic respiratory failure.The outbreak of coronavirus disease 2019(COVID-19)has further elevated the significance of PPV in clinical practice.Early enteral nutrition(EN)is considered a crucial measure for improving outcomes in critically ill patients.However,there remains considerable controversy regarding the implementation of EN during PPV.This review summarizes the research progress on the tolerance and safety of EN during PPV before and after the COVID-19 outbreak.It also highlights key strategies to enhance EN tolerance in prone-positioned patients,providing a clinical reference for improving patient management.

关 键 词：俯卧位通气 肠内营养 耐受性 营养流程 

分 类 号：R574[医药卫生—消化系统]