老年2型糖尿病患者肠内营养管理最佳证据总结

Summary of the Best Evidence for Enteral Nutrition Management in Elderly Patients with Type 2 Diabetes

摘要: 目的：检索和总结老年2型糖尿病患者肠内营养管理的最佳证据，旨在为临床老年2型糖尿病患者肠内营养管理提供循证基础。方法：通过计算机检索国内外指南网和数据库，包括指南、专家共识、证据总结、系统评价、原始研究等，对符合纳排标准的文献进行筛选、提取并进行质量评价及证据总结。结果：最终纳入13篇文献，其中包括8篇指南、3篇专家共识、1篇系统评价、1篇随机对照试验，经过质量评价和证据总结后，得出包括6个方面(评估､人员组成、实施、实施方式、监测、随访)30条最佳证据。结论：本研究总结了老年2型糖尿病患者肠内营养管理的最佳证据，应结合临床和应用证据的促进和阻碍因素形成更加科学、合理的循证干预方案。

Abstract: Objective: To retrieve and summarize the best evidence of enteral nutrition management in elderly patients with type 2 diabetes mellitus, aiming to provide an evidence-based basis for clinical enter-al nutrition management in elderly patients with type 2 diabetes mellitus. Methods: Through com-puter search of domestic and foreign guideline networks and databases, including guidelines, ex-pert consensus, evidence summary, systematic review, original research, etc., screening, extraction, quality evaluation and evidence summary of literature that meets the inclusion criteria. Results: Finally, 13 literatures were included, including 8 guidelines, 3 after quality evaluation and evidence summary, 30 pieces of best evidence including 6 aspects (evaluation, personnel composition, im-plementation, implementation method, monitoring, and follow-up) were obtained. Conclusion: This study summarizes the best evidence of enteral nutrition management in elderly patients with type 2 diabetes mellitus and should combine the promotion and hindrance factors of clinical and appli-cation evidence to form a more scientific and reasonable evidence-based intervention plan.