目的 检索、评价并总结脑卒中营养管理的最佳证据，为临床应用提供参考。方法 系统检索国内外指南网站、相关组织网站及数据库中关于脑卒中患者营养管理的证据，检索时限为建库至2024年4月。结果 共纳入文献25篇，包括指南10篇、专家共识8篇、系统评价7篇，整理出32条最佳证据，包括多学科营养管理团队、营养不良风险因素、营养筛查与评估、住院期营养支持治疗、出院前健康教育与支持、出院后监测与随访共6个方面。结论 总结了脑卒中全周期营养管理的最佳证据，可为医护人员制订脑卒中营养管理方案提供循证依据。

Objective To retrieve,evaluate and summarize the best evidence on nutritional management for stroke patients for clinical application.Methods A systematic search was conducted for evidence on nutritional management of stroke patients in domestic and international guideline websites,websites of related organizations,and databases.The retrieval timeframe was from the inception to April,2024.Results A total of 25 articles were retrieved,including 10 guidelines,8 expert consensuses,and 7 systematic reviews.This study compiled 32 pieces of best evidence in 6 areas:multidisciplinary nutritional management teams,risk factors for malnutrition,nutritional screening and assessment,inpatient nutritional support,pre-discharge health education and support,and post-discharge monitoring and follow-up.Conclusions This summary provides the best evidence for full-cycle nutritional management of stroke patients and may provide an evidence-based basis for healthcare professionals to develop nutritional management programs for these patients.

R473.74

国家自然科学基金资助项目（72074168）；上海市护理学会科研课题面上项目（2022MS-B06）；上海市第十人民医院护理部科研课题（SYHLKYZ-202301）