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| Research progress of enteral nutrition‑related diarrhea in critically ill patients |
| 1HuAiping，2XiangMingfang，2ZhangXuan，1YangShuang |
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School of Medicine of University of Electronic Science and Technology of China，Chengdu 610051, Sichuan，China；2
Department of Criti?
cal Care Medicine，The Affiliated Hospital School of Medicine，UESTC，Chengdu 610041, Sichuan，China |
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Abstract If there are no special abnormalities in the digestive system of critically ill patients, it is recommended to start enteral
nutrition from 24 to 48 hours after admission to the ICU, but the incidence of diarrhea in critically ill patients during enteral nutrition
is rather high, which caused loss of nutrients, disturbance of water⁃electrolyte acid⁃base balance, and even forced interruption of enteral
nutrition.It often leads to adverse clinical outcomes, increasing the length of hospital stay and mortality.The pain and economic burden
it brings to patients cannot be ignored.Currently, most of the epidemiological studies on diarrhea in critically ill patients come from
abroad, which cannot fully reflect the actual situation in China; there is still lack of unified diagnostic and evaluation standards;EN
diarrhea is a comprehensive result of many factors, the condition of critically ill patients is complex, and we are still facing great
challenges in its prevention and treatment.To ensure the safety of enteral nutrition treatment, the medical staff must have the awareness
of risk assessment, monitor the risk factors and assess gastrointestinal function dynamically, then formulate personalized and reasonable
nutrition programs to minimize the incidence of EN diarrhea.Therefor, the article summarized the definition、assessment tools、risk
factors、nursing and treatment strategies of enteral nutrition⁃related diarrhea in critically patients in recent years.Aiming to provide
reference for medical staff to scientifically implement enteral nutrition，reduce the incidence of enteral nutrition⁃related diarrhea in
critically ill patients, and improve the effect of feeding.
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Received: 15 May 2021
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