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护理学报 ›› 2025, Vol. 32 ›› Issue (3): 56-61.doi: 10.16460/j.issn1008-9969.2025.03.056

• 循证护理 • 上一篇    下一篇

成人重度烧伤患者早期肠内营养管理的最佳证据总结

杨小娟1a,2, 毛孝容1b,2, 王静1c,2, 江华1d,2, 李蓉1e,2, 樊宇2, 文青1f,2, 李林章2, 陈晓容1b   

  1. 1.四川省医学科学院·四川省人民医院 a.烧伤与创面修复外科;b.护理部;c.营养科;d.急诊医学与灾难医学研究所;e.产科;f.心血管内科,四川 成都 610072;
    2.电子科技大学 医学院,四川 成都 610054
  • 收稿日期:2024-09-21 出版日期:2025-02-10 发布日期:2025-03-06
  • 通讯作者: 毛孝容（1981-）,女,四川绵阳人,博士,副教授,科护士长。E-mail：xiaorong_mao@qq.com
  • 作者简介:杨小娟（1990-）,女,四川大竹人,本科学历,硕士研究生在读。

Best evidence summary for early enteral nutrition management in adults with severe burns

YANG Xiao-juan1a,2, MAO Xiao-rong1b,2, WANG Jing1c,2, JIANG Hua1d,2, LI Rong1e,2, FAN Yu1f,2, WEN Qing2, LI Lin-zhang2, CHEN Xiao-rong1b   

  1. 1a. Dept. of Burn and Wound Repair Surgery; 1b. Dept. of Nursing Administration; 1c. Dept. of Nutrition; 1d. Dept. of First Aid Center; 1e. Dept. of Obstetrics; 1f. Dept. of Cardiovascular Medicine, Sichuan Provincial People's Hospital,Chengdu 610072, China;
    2. School of Medicine, University of Electronic Science and Technology of China, Chengdu 610054, China
  • Received:2024-09-21 Online:2025-02-10 Published:2025-03-06

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摘要： 目的 汇总成人重度烧伤患者早期肠内营养管理的最佳证据。方法 系统检索国内外数据库及相关专业网站中有关成人重度烧伤患者早期肠内营养的中英文文献,检索时限为2013年1月—2024年7月。由4名研究者独立进行文献质量评价和证据提取。结果 共纳入24篇文献,包括6篇系统评价,3篇专家共识,6篇指南,1篇临床决策,8篇证据总结,按组织管理、综合评估、营养计划、并发症管理和效果评价5方面总结出27条最佳证据。结论 本研究总结了成人重度烧伤患者早期肠内营养管理的最佳证据,以期为成人重度烧伤患者的早期肠内营养干预提供循证的参考依据。

关键词: 重度烧伤, 成人, 早期肠内营养, 循证护理

Abstract: Objective To summarize the best evidence for early enteral nutrition management in adult patients with severe burns. Methods Literature on early enteral nutrition in adult patients with severe burns were systematically searched from domestic and foreign databases and related professional websites and the retrieval time spanned from January 2013 to July 2024. Literature quality evaluation and evidence extraction were conducted independently by 4 researchers. Results Totally 24 articles were collected, including 6 systematic reviews, 3 expert consensus, 6 guidelines, 1 clinical decision, and 8 evidence summaries, and 27 pieces of best evidence were summarized in 5 areas of organization and management, comprehensive evaluation, nutrition plan, complication management, and effect evaluation. Conclusion This study summarizes the best evidence for early enteral nutrition management in adult patients with severe burns, hoping to provide an evidence-based reference for early enteral nutrition intervention for adult patients with severe burns.

Key words: severe burns, adult, early enteral nutrition, evidence-based nursing

中图分类号: 

  • R47
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