摘要
为实现监测指导下的危重症个体化营养治疗的理想目标,中华医学会重症医学分会(CSCCM)组织专家制订了针对中国成人重症监护病房(ICU)患者营养评估与监测的临床实践指南。指南构成与编写由重症领域专家及循证指南方法学专家共同完成,经过临床问题收集与遴选,证据检索与系统评价,形成推荐意见并通过重症医学、临床营养学等多学科专家讨论,审阅,达成共识。最终形成基于当前可得证据的18条临床问题的推荐意见,主要涉及营养风险筛查与评估、肠内营养不耐受评估与判断、营养治疗中代谢与营养监测、营养供给相关的器官功能评价几个方面。按照PICO原则对每个问题逐一进行解构。此外,对于未达成共识但可能具有临床意义及进一步研究价值的4个问题进行了诠释。计划在3~5年内按照国际指南更新方法(CheckUp)对本指南的推荐意见进行更新。
The Chinese Society of Critical Care Medicine(CSCCM)has developed the clinical practice guidelines of nutrition assessment and monitoring for patients in adult intensive care unit(ICU)of China.This guideline focuses on nutrition assessment and metabolic monitoring to achieve the optimal and individualized nutrition therapy for critical ill patients.This guideline was made by experts in critical care medicine and evidence-based medicine methodology and was developed after a thorough system review and summary of relevant trials or studies published from 2000 to July 2023.A total of 18 recommendations were formed and consensus was reached through discussions and review by expert groups in critical care medicine,parenteral and enteral nutrition,and surgery.The recommendations are based on the currently available evidence and cover several key fields,including nutrition risk screening and assessment,evaluation and assessment of enteral feeding intolerance,metabolic and nutritional measurement and monitoring during nutrition therapy,and organ function evaluation related to nutrition supply.Each question was analyzed according to the PICO principle.In addition,interpretations were provided for four questions that did not reach a consensus but may have potential clinical and research value.The plan is to update this nutrition assessment and monitoring guideline using the international guideline update method within 3 to 5 years.
作者
中华医学会重症医学分会
管向东
陈德昌
许媛
Chinese Society of Critical Care Medicine,Chinese Medical Association;Guan Xiangdong;Chen Dechang;Xu Yuan
出处
《中华重症医学电子杂志》
CSCD
2023年第4期321-348,共28页
Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
基金
吴阶平医学基金会“重症营养标准化治疗研讨项目”专项资助项目。
关键词
成人
危重病
重症医学科
营养
营养评估与监测
指南
推荐意见
中华医学会重症医学分会
Adult
Critical illness
Intensive care unit
Nutrition
Nutrition assessment and monitoring
Guideline
Recommendation
Chinese Society of Critical Care Medicine
