再喂养综合征患者营养治疗方式的探讨

Discussion on the Nutritional Therapy of Patients with Refeeding Syndrome

关键词:  再喂养综合征  营养治疗  肠外营养  低磷血症

Key words:  refeeding syndrome  nutritional therapy  parenteral nutrition  hypophosphatemia

摘要:

目的 加深医务人员对再喂养综合征的认识。方法 通过报道1例再喂养综合征的案例，笔者查阅国内外相关文献，对再喂养综合征风险的筛查、风险等级的评定、诊断及如何安全启动营养治疗等方面进行了详细的阐述，并总结其治疗经验。结果 通过补充维生素B₁、纠正电解质紊乱、早期低热卡供给及液体管理等一系列措施，该患者的营养状况得到明显的改善。结论 再喂养综合征是营养治疗常见的并发症之一，医务人员需早期识别高危人群并为其制定个体化营养治疗方案，充分发挥营养治疗的临床价值。

Abstract:

OBJECTIVE To deepen the understanding of refeeding syndrome among medical staff. METHODS Through report a case of refeeding syndrome, the author reviewed relevant literatures both at home and abroad, elaborated on risk screening, risk grade assessment, diagnoses, and how to start nutritional therapy safely for refeeding syndrome, and summarized the treatment experience. RESULTS The nutritional status of the patient was clearly improved by supplementing vitamin B₁, correcting electrolyte disorders, supplying low calories early, and managing fluids. CONCLUSION The refeeding syndrome is one of the most common complications of nutritional therapy. Medical staff should identify high-risk groups early and develop an individualized nutritional treatment plan for them in order to make full use of nutritional therapy.