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成年严重烧伤患者肠内营养护理专家共识(2024版)

中华医学会烧伤外科学分会 中国医疗保健国际交流促进会烧伤医学分会

中华医学会烧伤外科学分会, 中国医疗保健国际交流促进会烧伤医学分会. 成年严重烧伤患者肠内营养护理专家共识(2024版)[J]. 中华烧伤与创面修复杂志, 2024, 40(9): 801-811. DOI: 10.3760/cma.j.cn501225-20240229-00078.
引用本文: 中华医学会烧伤外科学分会, 中国医疗保健国际交流促进会烧伤医学分会. 成年严重烧伤患者肠内营养护理专家共识(2024版)[J]. 中华烧伤与创面修复杂志, 2024, 40(9): 801-811. DOI: 10.3760/cma.j.cn501225-20240229-00078.
Chinese Burn Association,Burn Medicine Branch of China International Exchange and Promotion Association for Medical and Healthcare.Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)[J].Chin J Burns Wounds,2024,40(9):801-811.DOI: 10.3760/cma.j.cn501225-20240229-00078.
Citation: Chinese Burn Association,Burn Medicine Branch of China International Exchange and Promotion Association for Medical and Healthcare.Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)[J].Chin J Burns Wounds,2024,40(9):801-811.DOI: 10.3760/cma.j.cn501225-20240229-00078.

成年严重烧伤患者肠内营养护理专家共识(2024版)

doi: 10.3760/cma.j.cn501225-20240229-00078
基金项目: 

国家重点研发计划 2021YFA1101100

详细信息

    通信作者:黎宁,陆军军医大学(第三军医大学)第一附属医院全军烧伤研究所,创伤与化学中毒全国重点实验室,重庆 400038,Email:276806@tmmu.edu.cn张寅,上海交通大学医学院附属瑞金医院护理部,上海 200025,Email:inazhang2001@163.com

Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)

Funds: 

National Key Research and Development Program of China 2021YFA1101100

  • 摘要: 肠内营养是严重烧伤患者营养治疗的主要方式之一。为推动临床护士规范、安全、有效地实施肠内营养护理,该共识编写组以循证医学证据为基础,德尔菲法为指导,围绕成年严重烧伤患者肠内营养的适应证与启动时机、医院感染控制、营养风险筛查、吞咽功能评估、胃肠道功能评估、能量评估、喂养途径、输注管理、血糖管理、营养状况监测、营养过渡等11个主题进行文献检索、质量评价、证据综合、专家函询,制订了《成年严重烧伤患者肠内营养护理专家共识(2024版)》,为护士临床实践提供参考。

     

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  • 图  1  《成年严重烧伤患者肠内营养护理专家共识(2024版)》的推荐意见流程图

    注:TBSA为体表总面积,NRS为营养风险筛查,AGI为急性胃肠道损伤,mNUTRIC为改良危重症营养风险,ONS为口服营养补充成年严重烧伤患者肠内营养护理专家共识(2024版)编写组

    Table  1.   澳大利亚Joanna Briggs Institute循证卫生保健中心证据级别系统(2014版)

    证据分级具体描述
    1a多项RCT的系统评价
    1b多项RCT及其他干预性研究的系统评价
    1c单项RCT
    1d准RCT
    2a多项类实验性研究的系统评价
    2b多项类实验性研究与其他低质量干预性研究的系统评价
    2c单项前瞻性有对照组的类实验性研究
    2d前后对照/回顾性对照的类实验性研究
    3a多项队列研究的系统评价
    3b多项队列研究与其他低质量观察性研究的系统评价
    3c单项有对照组的队列研究
    3d单项病例对照研究
    3e单项无对照组的观察性研究
    4a多项描述性研究的系统评价
    4b单项横断面研究
    4c病例系列研究
    4d个案研究
    5a对专家意见的系统评价
    5b专家共识
    5c基础研究/单项专家意见
    注:RCT为随机对照试验
    下载: 导出CSV

    Table  2.   澳大利亚Joanna Briggs Institute循证卫生保健中心证据推荐强度系统(2014版)

    推荐强度判断标准
    明确显示干预措施利大于弊或弊大于利;高质量证据支持应用;对资源分配有利或无影响;考虑了患者的价值观、意愿和体验
    干预措施利大于弊或弊大于利,尽管证据尚不够明确;有证据支持应用,尽管证据质量不够高;对资源分配有利或无影响或有较小影响;部分考虑或并未考虑患者的价值观、意愿和体验
    下载: 导出CSV
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