克罗恩病患儿经全肠内营养诱导后食物重新引入的范围综述
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女,硕士在读,学生

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浙江中医药大学校级科研基金项目(2020ZG24)


Food-reintroduction after remission induced by exclusive enteral nutrition in children with Crohn′s disease:a scoping review
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    摘要:

    目的 系统分析克罗恩病患儿经全肠内营养诱导缓解后进行食物重新引入的相关研究,识别食物重新引入的具体内容和结局指标,为医护人员开展相关研究或干预提供参考。 方法 采用范围综述方法,系统检索中国生物医学文献数据库、中国知网、万方数据库、维普数据库、JBI循证卫生保健中心数据库、Cochrane Library、BMJ Best Practice、Web of Science、PubMed、Embase、CINAHL Complete等国内外数据库,检索时限为建库至2022年11月。对纳入文献进行筛选、汇总和分析。 结果 最终纳入21篇文献,从食物重新引入方法(开始时间、维持时间、饮食类型、速度和频率、肠内营养停止情况)和结局评价(评价指标和评价时间)两大方面进行了归纳。 结论 克罗恩病患儿食物重新引入方案存在较大差异,未来研究应注重探究最佳的食物重新引入策略,制订规范的评价标准,为克罗恩病患儿制订科学和有效的食物重新引入方案。

    Abstract:

    Objective To systematically analyze relevant studies on food-reintroduction after remission induced by exclusive enteral nutrition in children with Crohn′s disease, and identify the specific contents and outcomes of food-reintroduction, so as to provide references for medical staff to carry out related research or intervention. Methods The methodology of scoping review was used to systematically search such databases as SINOMED, CNKI, Wanfang, VIP, JBI, Cochrane Library, BMJ Best Practice, Web of Science, PubMed, Embase and CINAHL Complete.The search period was limited to the duration from database inception to November 2022.The included studies were screened, summarized and analyzed. Results A total of 21 studies were included.The results can be divided into 2 categories, the practice (start timing, maintenance time, type of diet, speed and frequency, EN discontinuation) and outcome evaluation (indicators and evaluation timing) of food-reintroduction. Conclusion There are large differences in reintroduction programs for children with Crohn′s disease. Future research should focus on exploring the best food reintroduction strategies, developing normative evaluation criteria, and developing scientific and effective food reintroduction programs for pediatric patients with Crohn′s disease.

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周密,周云仙.克罗恩病患儿经全肠内营养诱导后食物重新引入的范围综述[J].护理学杂志,2023,28(11):18-22

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  • 收稿日期:2023-01-05
  • 最后修改日期:2023-03-24
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  • 在线发布日期: 2024-01-13