中国中西医结合急救杂志2024,Vol.31Issue(5) :513-532.DOI:10.3969/j.issn.1008-9691.2024.05.001

中西医结合防治重症患者急性胃肠损伤中国专家共识

Chinese expert consensus on integrative Chinese and western medicine for the prevention and treatment of acute gastrointestinal injury in critically ill patients

中国中西医结合学会重症医学专业委员会 浙江省医学会重症医学分会 江荣林 智屹惠
中国中西医结合急救杂志2024,Vol.31Issue(5) :513-532.DOI:10.3969/j.issn.1008-9691.2024.05.001

中西医结合防治重症患者急性胃肠损伤中国专家共识

Chinese expert consensus on integrative Chinese and western medicine for the prevention and treatment of acute gastrointestinal injury in critically ill patients

中国中西医结合学会重症医学专业委员会 浙江省医学会重症医学分会 江荣林 1智屹惠
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作者信息

  • 1. 浙江中医药大学附属第一医院(浙江省中医院)ICU,浙江杭州 310006
  • 折叠

摘要

重症患者急性胃肠损伤(AGI)的发生率高,且严重影响其临床预后.目前中西医专业对AGI的诊断和防治方案已有许多研究,包括探讨易发生AGI的高危因素、诊断AGI的生物标志物、西医评价胃肠功能的评分法、中医的辨证分型、中西医治疗和预防AGI的方法等,且均有较深入的研究.为进一步规范中西医结合防治重症患者AGI的策略,本共识召集国内中西医结合领域重症医学、循证医学、方法学等专业的专家,制定了《中西医结合防治重症患者急性胃肠损伤中国专家共识》.该共识基于PICO[人群(patient)、干预措施(intervention)、对照措施(comparison)和结局(outcome)]原则,采用推荐分级、评估、制订和评价(GRADE)标准,以问题为导向,从中西医结合的角度,对AGI的定义、诊断、治疗和预防等方面总结循证医学的证据并提出推荐意见,为临床中西医结合防治重症患者AGI的规范化实施提供专业建议.

Abstract

The incidence of acute gastrointestinal injury (AGI) in critically ill patients is high and significantly affects their clinical prognosis. Currently,there have been numerous studies in both western and Chinese medicine specialties on the diagnosis,prevention,and treatment of AGI,including investigations into high-risk factors prone to AGI,biomarkers for diagnosing AGI,scoring methods for evaluating gastrointestinal function in western medicine,syndrome differentiation in Chinese medicine,and treatment and prevention approaches of AGI in both western and Chinese medicine. To further standardize the strategies for the prevention and treatment of AGI in critically ill patients through the integration of Chinese and western medicine,this consensus convened experts in critical care medicine,evidence-based medicine,and methodology in the field of integrative Chinese and western medicine within the country to formulate the Chinese expert consensus on integrative Chinese and western medicine for the prevention and treatment of acute gastrointestinal injury in critically ill patients. This consensus is based on the PICO (patient,intervention,comparison,and outcome) principle and adopts the grading of recommendations,assessment,development and evaluation (GRADE) standard. It takes a problem-oriented approach from the perspective of the integration of Chinese and western medicine,this consensus summarizes the evidence-based medical evidence and puts forward recommendations on the definition,diagnosis,treatment and prevention of AGI to provide professional suggestions for the standardized implementation of the prevention and treatment of AGI in critically ill patients through integrative Chinese and western medicine.

关键词

重症患者/急性胃肠损伤/中西医结合/防治/专家共识

Key words

Critically ill patient/Acute gastrointestinal injury/Integrated Chinese and western medicine/Prevention and treatment/Expert consensus

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出版年

2024
中国中西医结合急救杂志
中国中西医结合学会

中国中西医结合急救杂志

CSTPCDCSCD
影响因子:1.925
ISSN:1008-9691
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