摘要
骨科大手术围手术期营养不良的发生率较高,但其中仅有极少数的患者得到及时的诊断与治疗。营养不良是骨科大手术患者术后并发症的独立危险因素。围手术期合理的营养支持可减少围手术期并发症、加速患者康复,是实现骨科加速康复的关键环节之一。为了进一步加强骨科大手术加速康复围手术期营养管理,提高医疗质量和安全,国家卫生健康委加速康复外科专家委员会骨科专家组、中国研究型医院学会骨科加速康复专业委员会、中国康复技术转化及促进会骨科加速康复专业委员会联合多学科专家成立骨科加速康复系列共识编写专家委员会,以临床问题为导向,遵循循证医学原则,归纳出4个方面的问题:(1)围手术期营养不良的特征与营养支持目标;(2)术前营养风险筛查及营养状况评定;(3)术后营养风险筛查及营养状况评定;(4)围手术期营养支持。按照上述4个方面的问题进行文献检索和归纳,经过反复讨论和修改后形成本共识,期望其为我国骨科加速康复围手术期营养管理的多学科协作起到积极的推动作用,最终达到加速患者康复的目的。
Orthopaedic patients have a high incidence of malnutrition during perioperative period,and only a small number of such patients have been timely diagnosed and treated.Malnutrition in patients undergoing major orthopaedic surgery is an independent risk factor for postoperative complications.Reasonable perioperative nutritional support can reduce perioperative complications and accelerate the recovery of patients,which is one of the key links of enhanced recovery after surgery(ERAS).In order to further promote nutrition management in major orthopaedic surgery in ERAS program and improve medical quality and safety,Orthopaedic Expert Group of ERAS profession Committee of National Health Commission,Orthopaedic ERAS profession Committee of Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of China Association of Rehabilitation Technology Transformation and Promotion,together with experts from other relevant disciplines,established a collaborative expert committee for this consensus writing.Focusing on the clinical problems and following evidence-based medicine principles,the experts summarized the following four aspects:(1)characteristics of perioperative malnutrition and goals of nutritional support;(2)preoperative nutritional risk screening and nutritional status assessment;(3)postoperative nutritional risk screening and nutritional status assessment;(4)nutrition support during perioperative period.Around these four aspects,literature was searched and induced.Through repeated discussions and revisions,this consensus was developed hoping to promote the multidisciplinary cooperation and realize rapid recovery for patients.
出处
《中华骨与关节外科杂志》
2022年第10期763-767,共5页
Chinese Journal of Bone and Joint Surgery
关键词
骨科手术
加速康复外科
围手术期
营养管理
营养不良
营养风险
营养风险筛查
营养状况评定
Orthopaedic Surgery
Enhanced Recovery After Surgery
Perioperative Period
Nutrition Management
Malnutrition
Nutritional Risk
Nutritional Risk Screening
Nutritional Status Assessment
作者简介
通信作者:胡雯,E-mail:wendy_nutrition@163.com;通信作者:邱贵兴,E-mail:qguixing@126.com;通信作者:裴福兴,E-mail:peifuxing@vip.163.com
