Оптимизация лечения пациентов с декубитальными язвами (пролежнями) посредством нутритивной поддержки (резолюция Экспертного совета)

В резолюции отражены решения совета экспертов о важности разработки профильными медицинскими сообществами клинических рекомендаций по проблеме декубитальных язв (пролежней) и целесообразности выделения в них раздела о нутритивной поддержке.

1. Kottner J., Cuddigan J., Carville K., et al. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019 // Journal of Tissue Viability. – 2019. – Vol. 28. – N 2. – P. 51–58. doi: 10.1016/j.jtv.2019.01.001

2. Tubaishat A., Papanikolaou P., Anthony D., Habiballah L. Pressure ulcers prevalence in the acute care setting: A systematic review, 2000 2015 // Clin Nurs Res. – 2018. – Vol. 27. – N 6. – Р. 643–659. doi: 10.1177/1054773817705541

3. Labeau S.O., Afonso E., Benbenishty J., et al.; DecubICUs Study Team; European Society of Intensive Care Medicine (ESICM) Trials Group Collaborators. Prevalence, associated fac tors and outcomes of pressure injuries in adult in tensive care unit patients: the DecubICUs study // Intensive Care Med. – 2021. – Vol. 47. – N 2. – P.160–169. doi: 10.1007/s00134-020-06234-9

4. Alshahrani B., Middleton R., Rolls K., Sim J. Pressure injury prevalence in critical care set tings: An observational pre-post intervention study // Nurs Open. – 2024. – Vol. 11. – N 2. – P. e2110. doi: 10.1002/nop2.2110

5. Yap J.W., Holloway S. Evidence‐based re view of the effects of nutritional supplementation for pressure ulcer prevention // International Wound Journal. – 2021. – Vol. 18. –N 6. – P. 805–821. doi: 10.1111/iwj.13584

6. Pacific P.A.N. Prevention and treatment of pressure ulcers/injuries: quick reference guide. –2019.–URL: https://static1.squarespace.com/static/6479484083027f25a6246fcb/t/67bd4fbfd6865e7a07acc9e8/1740459974549/QRG-abridged25Feb2025.pdf

7. Lyder C.H., Preston J., Grady J.N., et al. Quality of care for hospitalized Medicare patients at risk for pressure ulcers // Arch Intern Med. – 2001. – Vol. 161. – N. 12. – P. 1549–1554. doi: 10.1001/archinte.161.12.1549

8. Iizaka S., Sanada H., Minematsu T., et al. Do nutritional markers in wound fluid reflect pressure ulcer status? // Wound Repair Regen. – 2010. – Vol. 18. – N. 1. – P. 31–37. doi: 10.1111/j.1524-475X.2009.00564.x

9. Allen B. Effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay, and charges to patients // Clin Nurs Res. – 2013. – Vol. 22. – N 2. P. 186–205. doi: 10.1177/1054773812457673

10. Stratton R.J., Ek A.C., Engfer M., et al. Enteral nutritional support in prevention and treat ment of pressure ulcers: A systematic review and meta-analysis // Ageing Res Rev. – 2005. – Vol. 4. – N 3. 422–50. doi: 10.1016/j.arr.2005.03.005

11. Yap J.W., Holloway S. Evidence-based re view of the effects of nutritional supplementation for pressure ulcer prevention // Int Wound J. – 2021. – Vol. 18. – N 6. – P. 805–821. doi: 10.1111/iwj.13584

12. Stechmiller J., Childress B., Cowan L. Argi nine supplementation and wound healing // Nutr Clin Pract. – 2005. – Vol. 20. – N 1. – P. 52–61. doi: 10.1177/011542650502000152

13. Luiking Y.C., Deutz N.E.P. Exogenous arginine in sepsis // Crit Care Med. –2007. – Vol. 35 (9 Suppl). – P. S557–63. doi: 10.1097/01.CCM.0000279191.44730.A2

14. Lin P.H., Sermersheim M., Li H., et al. Zinc in Wound Healing Modulation // Nutri ents. – 2017. – Vol. 10. – N 1. – P. 16. doi: 10.3390/nu10010016

15. Ellinger S., Stehle P. Efficacy of vitamin supplementation in situations with wound healing disorders: results from clinical intervention studies // Curr Opin Clin Nutr Metab Care. – 2009. – Vol. 12. – N 6. – P. 588–95. doi: 10.1097/MCO.0b013e328331a5b5

16. Desneves K.J., Todorovic B.E., Cassar A., Crowe T.C. Treatment with supplementary argi nine, vitamin C and zinc in patients with pressure ulcers: a randomised controlled trial // Clin Nutr. – 2005. – Vol. 24. – N 6. – P. 979–87. doi: 10.1016/j.clnu.2005.06.011

17. Белкин А. А., Алашеев А. М., Белкин В. А., и др. Реабилитация в отделении реанимации и интенсивной терапии (РеабИТ). Методические рекомендации Союза реабилитологов России и Федерации анестезиологов и реаниматологов // Вестник интенсивной терапии имени А. И. Салтанова. – 2022. – № 2. – С. 7–40. doi: 10.21320/1818-474X-2022-2-7-40

18. Пасечник И. Н., Новикова Т. В. Пролежни: новые подходы к лечению // Лечащий Врач. – 2022; – № 4 (25). – P. 38 43. doi: 10.51793/OS.2022.25.4.007