摘要
嚴重營養不良或長時間禁食的人重新經由口服、腸道或靜脈途徑攝取營養時，可能因此引起體液及電解質異常，葡萄糖代謝改變以及維生素缺乏，進而出現神經系統、肺、心臟和血液系統的合併症，最嚴重時可能導致多重器官衰竭，甚至死亡，這些綜合徵狀稱為再餵食症候群。要避免再餵食症候群的發生，重點在於找出具有風險的病人，在營養治療前、後即時矯正電解質異常，補充適當的維生素，謹慎緩慢的調整營養治療的速度。
關鍵字
再餵食症候群並列摘要
Refeeding syndrome represents a group of metabolic disturbances that occur in severely malnourisbed or prolonged starved individuals when resume nutritional support either orally, enterally or parenterally. These patients may experience abnormalities in fluid, electrolye, and glucose metabolism, and vitamin deficiencies, which may lead to neurologic, pulmonary, cardiac and hematologic complications, even multiple organ dysfunction and death. The keys to prevent the development of refeeding syndrome include identifying patients at risk, timely correct electroIytes imbalance and vitamin deficiencies before initiation of nutritional support, and providing nutritional support slowly and judiciously.
並列關鍵字
refeeding syndrome延伸閱讀
- Lin, H. Y., & Tseng, M. C. M. (2011). 厭食症與再餵食症候群的住院治療. 臺灣精神醫學, 25(3), 126-139. https://doi.org/10.29478/TJP.201109.0002
- 江昱瑤、余培筠、許瀞棻（2021）。運用多元方案照顧一位餵食困難早產兒之照護經驗。榮總護理，38(1)，100-107。https://doi.org/10.6142/VGHN.202103_38(1).0012
- 黃鈺婷、曾詩方、邱昱婷、李銘櫻、陳麗貞（2022）。降低新生兒加護病房早產兒餵食不耐受之發生率。護理雜誌，69(3)，77-84。https://doi.org/10.6224/JN.202206_69(3).11
- 劉偉仕、葉恩琪（2014）。台灣精神醫學會年會DSM-5工作坊：餵食與和飲食障礙症。DSM-5通訊，4(2)，38-39。https://www.airitilibrary.com/Article/Detail?DocID=P20140807001-201406-201501120030-201501120030-38-39
- 王采芷、吳淑芳、梁淑媛、童恒新、林玉萍（2012）。Preventing Common Enteral Feeding Complications in Critically Ill Adult Patients。護理雜誌，59(4)，18-23。https://doi.org/10.6224/JN.59.4.18