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危重患者肠内营养喂养不耐受预测模型的概况性评价

王敏 龙建英 袁梦圆 焦品莲 钟明明 孙珊珊 张彩云

兰州大学学报(医学版)2024,Vol.50Issue(3):62-69,8.
兰州大学学报(医学版)2024,Vol.50Issue(3):62-69,8.DOI:10.13885/j.issn.1000-2812.2024.03.010

危重患者肠内营养喂养不耐受预测模型的概况性评价

Predictive models for enteral nutrition feeding intolerance in critically ill patients:A scoping review

王敏 1龙建英 1袁梦圆 1焦品莲 2钟明明 1孙珊珊 1张彩云1

作者信息

  • 1. 兰州大学 护理学院,甘肃 兰州 730000||兰州大学第一医院门诊部,甘肃 兰州 730000
  • 2. 兰州大学第一医院放疗科,甘肃 兰州 730000
  • 折叠

摘要

Abstract

Objective To conduct a scoping review of predictive models for enteral nutrition feeding intoler-ance in critically ill patients at home and abroad,so as to provide reference for clinical selection,application and future research direction.Methods Focusing on prediction model of enteral nutrition feeding intolerance in critically ill patients,Chinese and English databases were systematically searched.Screening of the litera-ture and extraction of data were independently conducted by two researchers.Results Twelve studies in total were included,consisting of 10 studies on the development of prediction model tools and 2 studies on perfor-mance verification.The overall prediction performance was good,while the risk of bias was high.Age,blood glucose,mechanical ventilation,sedative and analgesic drugs,acute physiology and chronic health evaluationⅡ,intra-abdominal pressure are important factors for predicting enteral nutrition feeding intolerance in criti-cally ill patients.Conclusion There are many studies on the development of risk prediction models for enteral nutrition feeding intolerance in critically ill patients,but the clinical applicability should be clarified through effective verification.The development of feeding intolerance prediction models for critically ill patients with different disease types should be carried out,combined with the information system,so as to real-ize the process,scientific and information screening and management of enteral nutrition feeding intolerance high-risk patients.

关键词

危重患者/喂养不耐受/预测模型/概况性评价

Key words

critical patient/feeding intolerance/risk prediction/scoping review

分类

医药卫生

引用本文复制引用

王敏,龙建英,袁梦圆,焦品莲,钟明明,孙珊珊,张彩云..危重患者肠内营养喂养不耐受预测模型的概况性评价[J].兰州大学学报(医学版),2024,50(3):62-69,8.

基金项目

甘肃省科技计划资助项目(22JR5RA913) (22JR5RA913)

兰州大学学报(医学版)

OACSTPCD

2097-681X

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