主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2024, Vol. 24 ›› Issue (2): 218-223.doi: 10.3969/j.issn.1672-1756.2024.02.012

• 循证护理 • 上一篇    下一篇

成人肝移植患者围手术期营养管理证据总结

戚熠 谭艳 李旭英 李金花 胡美华 刘佳惠   

  1. 湖南省肿瘤医院肝胆肠外科,410003,长沙市(戚熠,谭艳);护理部/湘雅循证实践与健康创新中心(李旭英,李金花,胡美华);乳腺内科(刘佳惠)
  • 出版日期:2024-02-15 发布日期:2024-02-15
  • 通讯作者: 谭艳,硕士,主管护师,护士长,E-mail:494093792@qq.com
  • 作者简介:戚熠,硕士,护师
  • 基金资助:
    湖南省卫生健康委员会2023年度科研计划课题立项(B202314057983);湖南省临床医疗技术创新引导项目(2021SK51120)

Evidence summary for perioperative nutrition management among adult patients with liver transplantation patients

QI Yi, TAN Yan, LI Xuying, LI Jinhua, HU Meihua, LIU Jiahui   

  1. Department of Hepatobiliary and Enteral Surgery, Hunan Cancer Hospital, Changsha, 410003, China
  • Online:2024-02-15 Published:2024-02-15
  • Contact: E-mail:494093792@qq.com

摘要: 目的:检索、评价和总结成人肝移植围手术期营养管理的相关证据,为临床制定营养策略及患者自我管理提供循证依据。方法:系统检索国内外数据库中关于成人肝移植围手术期营养管理的相关文献,根据相关文献评价标准进行评价并提取证据。结果:共纳入11篇文献,其中指南7篇、专家共识3篇、系统评价1篇,最终总结出20条证据,包括营养风险筛查与评估、骨骼肌减少症的筛查、体质量管理、术前营养管理、术后营养管理、院外随访6个方面。结论:该研究总结的成人肝移植围手术期营养管理的证据具有科学性和实用性,可为临床医护人员提供参考和借鉴,使其更有针对性、科学性地指导肝移植术后患者的自我管理。

关键词: 肝移植;围手术期;营养管理;证据

Abstract: Objective: To search, evaluate and summarize currently available state-of-the-art studies on the perioperative nutrition management of adult liver transplantation, and to provide evidence-based basis for clinical nutrition strategy development and patients' self-management. Methods: The literature on perioperative nutrition management of adult liver transplantation was systematically searched, evaluated, and extracted from the domestic and foreign databases according to the evaluation criteria. Results: A total of 11 literatures, consisting of 7 guidelines, 3 expert consensus, and 1 systematic review were included. Finally, 20 best evidences and 6 categories were summarized, including nutritional risk screening and assessment, sarcopenia assessment, weight management, preoperative nutrition management, postoperative nutrition management, and follow-up for discharged patients. Conclusion: Our study scientifically and practically summarizes the best evidence of perioperative nutrition management of adult liver transplantation, which provides implications for clinical medical staff and guides targeted interventions for the self-management of patients after liver transplantation.

Key words: liver transplantation; perioperative period; nutrition management; evidence

中图分类号:  R47;R197