重症监护患者肠内喂养后肺炎感染的发生率

Mashael Alharbi, Kamal K. Alsofyani, Mohammed Alshehri, Rakan Alshareef, Osama A. Alshehri, Saad Alsaad, Nuha M. Barnawi
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摘要

背景:肠内营养(EN)是指通过一根管子将营养完全的饲料注入胃、十二指肠或空肠。有人提出,EN有助于维持肠道屏障的健康和完整性,并与免疫球蛋白合成水平的提高有关,这可能有助于增强对呼吸道感染的防御。然而,危重病人对肠内喂养的耐受性可能较差,并可能出现恶心和呕吐等不愉快的胃肠道反应。目的:探讨重症监护病人肠内营养与肺炎发生风险的关系。方法:这是对2016年至2018年发表的研究的最新综述。为了研究我们的主题,我们使用了Google Scholar、Web of Science和PubMed数据库。在各种组合中使用的关键词包括“肠内营养、喂养、发病率、误吸、肺炎、成人、ICU”。此外,对危重患者恳求性喂养与肺炎风险关系的原始研究进行了综述。纳入标准为全文出版物。结果:虽然获得了17篇论文,但只有3篇研究符合纳入要求。所有的研究都是在过去进行的。该研究包括重症监护病房的413名成年患者。结论:在危重患者中,肠内喂养与吸入性肺炎和整体感染的风险较低有关。发现肠内喂养对危重患者安全有效,无重大问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pneumonia Infection Incidence with Enteral Feeding in Intensive Care Patients
Background: Enteral nutrition (EN) is the administration of a nutritionally complete feed through a tube into the stomach, duodenum, or jejunum. It has been proposed that EN helps to maintain the health and integrity of the gut barrier and is connected to increased levels of immunoglobulin synthesis, which may help to boost defenses against respiratory infections. However, critically ill patients may have a poor tolerance for enteral feeding and may develop unpleasant gastrointestinal effects such as nausea and vomiting. Aim: To investigate at the incidence between enteral nutrition and the risk of pneumonia in intensive care unit patients. Methods: This is an updated review of research that were published between 2016 and 2018. To research our topic, we employed the Google Scholar, Web of Science, and PubMed databases. The keywords used in various combinations included "enteral nutrition, feeding, incidence, aspiration, pneumonia, adults, ICU." In addition, original research on the relationship between entreat feeding and the risk of pneumonia in critically ill individuals was reviewed. The inclusion criterion was full-text publications. Results: Despite obtaining 17 papers, only three research met the inclusion requirements. All of the research were conducted in the past. The study included 413 adult patients in the intensive care unit. Conclusion: In critically ill people, enteral feeding was related with a lower risk of aspiration pneumonia and overall infections. Enteral feeding was found to be safe and effective for critically ill patients, with no major problems.
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