胃癌患者术后管饲肠内营养耐受性管理的最佳证据总结  

Summary of evidence on the management of enteral tube feeding tolerance in postoperative patients with gastric cancer

作　　者：韦俭俭 闫红霞 张月 王春萌 和芳 Wei Jianjian;Yan Hongxia;Zhang Yue;Wang Chunmeng;He Fang(National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing100021,China)

机构地区：[1]国家癌症中心,国家肿瘤临床研究中心,中国医学科学院,北京协和医学院肿瘤医院,北京100021

出　　处：《中华临床营养杂志》2024年第6期347-353,363,共8页Chinese Journal of Clinical Nutrition

基　　金：项目项目:中华国际医学交流基金会医学营养临床科研基金(Z-2017-24-2110)。

摘　　要：目的总结胃癌患者术后管饲肠内营养喂养不耐受(enteral feeding intolerance,EFI)管理的最佳证据,为临床实践提供最佳循证依据。方法按照"6S"证据金字塔模型,系统检索国内外相关指南网站、循证数据库、相关学会网站及原始文献数据库,关于胃癌患者术后管饲EFI的相关文献,检索时间为建库至2023年7月29日;由两名经过培训的研究人员独立地完成文献筛选、质量评价、证据提取及总结。结果初检出994篇文献,将冗余、内容不全、出版年代久远、质量不达标的文献剔除后,共纳入23篇文献,其中类试验研究2篇,横断面研究2篇,回顾性队列研究3篇;指南、专家共识、系统评价各2篇;对照试验10篇。最终形成最佳证据21条,包括胃癌患者术后管饲EFI的基本要求、评估、干预方式、注意事项、健康教育。结论根据胃癌患者术后管饲EFI管理的最佳证据,临床护理人员应该在结合临床实际情况、科室要求、患者病情及治疗情况和意愿的基础上,对最佳证据进行适当的转化和应用,以降低胃癌患者术后管饲EFI发生率。Objective To summarize the best evidence of the management of enteral nutrition feeding intolerance(EFI)in postoperative patients with gastric cancer,in order to facilitate the best evidence-based clinical practice.MethodsAccording to the"6S"evidence pyramid model,relevant guide websites,evidence-based databases,relevant society websites and original literature databases at home and abroad were systematically searched for relevant literature on postoperative tube feeding EFI for gastric cancer patients,and the search time was from the establishment of the database to July 29,2023.The quality assessment was conducted by two researchers by using AGREE II for guidelines,JBI evidence-based health care center evaluate standards for systematic review and expert consensus.ResultsAn initial searching of 994 literatures resulted in 23 literatures that met inclusion criteria.Finally,a total of 21 pieces of evidence were summarized from 5 aspects including basic requirements,assessment,interventions,notes and health education.ConclusionsThis study summarized the best evidence of management of tube EFI in postoperative gastric cancer patients.Clinical staff should transfer and apply these evidences based on the actual clinical situation,demands,patients'condition of disease and treatment and their preferences,tto reduce the incidence of postoperative tube feeding EFI in patients with gastric cancer.

关 键 词：胃癌术后 管饲肠内营养 耐受性 证据总结 

分 类 号：R735.2[医药卫生—肿瘤]