危重病儿ECMO肠内营养支持治疗研究进展

Research progress on enteral nutrition in pediatric extracorporeal membrane oxygenation

体外膜肺氧合(ECMO)支持已经越来越多地应用于儿科重症监护病房,然而,对于这些病儿最佳的营养支持方案仍没有达成共识。营养不良在接受ECMO支持的危重病儿中很常见,营养不良的发生常常导致不良预后,故营养支持治疗是ECMO治疗过程中需要引起重视的一部分。本文基于国内外对危重及ECMO病儿营养支持治疗方面的最新指南,整理目前关于ECMO病儿营养支持的各个方面的临床研究,提出对该类病儿营养支持过程中的建议和未来研究方向。

Extracorporeal membrane oxygenation(ECMO) has been increasingly applied in pediatric intensive care units,however,there is still no consensus on the optimal nutritional support for these children.Malnutrition is common in critically ill children receiving ECMO,and often leads to poor clinical outcomes.Therefore,nutritional support is an important component of ECMO treatment.This study was based on the latest guidelines on nutritional therapy for critically ill and ECMO children.We summarized the current clinical research on various aspects of nutritional therapy for ECMO children,and proposed suggestions and future research directions for the nutritional therapy in such children.