目的 总结危重患者体外膜氧合(ECMO)治疗期间营养管理的最佳证据，为临床治疗和护理提供参考依据。方法 计算机检索建库至2024年3月BMJ、UpToDate、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Best Practice、Cochrane Library、Science Direct、Elsevier、Web of Science、JAMA、PubMed、加拿大安大略注册护士协会、美国肠外肠内营养学会、欧洲临床营养与代谢学会、英国肠外肠内营养学会、美国重症医学会、国际指南图书馆、英国临床医学研究所指南库、苏格兰学院间指南网、澳大利亚指南网、医脉通、中国知网、万方数据知识服务平台、中国生物医学文献数据库、护理文献累积索引数据库和中华医学会数据库中关于ECMO患者营养管理的相关证据，包括指南、最佳应用实践、最佳证据总结、专家共识、系统评价及本研究相关原始研究等。结果 最终纳入22篇文献，汇总49条最佳证据，包括营养评估和监测、营养供给、肠内营养、营养制剂及危重病评分5个方面。结论 本研究总结危重患者ECMO治疗期间的营养管理，为临床医护工作者提供临床依据。
Summary of the best evidence for nutritional management during extra-corporeal membrane oxygenation in critical illness patients
Objective To summarize the best evidence of nutritional management during extracorporeal membrane oxygenation(ECMO)in critical illness patients,and to provide reference for clinical treatment and nursing.Methods Relevant evidences including guidelines,best application practices,best evidence summaries,expert consensus,systematic reviews and original research related to this study on nutrition management for ECMO patients were retrieved by using computer from database establishment to March 2024 in BMJ,UpToDate,Joanna Briggs Institute Evidence-Based Healthcare Center database,Best Practice,Cochrane Library,Science Direct,Elsevier,Web of Science,JAMA,PubMed,Canadian Registered Nurses Association,American Society for Parenteral and Enteral Nutrition,European Society for Clinical Nutrition and Metabolism,British Society for Parenteral and Enteral Nutrition,American Society of Critical Care Medicine,International Guideline Library,guideline library of the British Institute of Clinical Medicine,Scottish intercollegiate guidelines network,Australian guideline network,Yima Tong,China national knowledge infrastructure,Wanfang Data,Chinese biomedical literature database,Nursing literature accumulation index database and Chinese Medical Association database.Results Finally,22 articles were included,summarized 49 best pieces of evidence,included five aspects such as nutritional assessment and monitoring,nutritional supply,enteral nutrition,nutritional preparations,and critical illness scores.Conclusion This study summarizes nutritional management of critical illness patients during ECMO treatment,providing clinical evidence for healthcare workers.
Critical illness patientsExtracorporeal membrane oxygenationNutrition managementSummary of evidence
NETL
NSTL
万方数据
