摘要
营养不良是指由于摄入不足或利用障碍引起能量或营养素缺乏的状态,是导致不良临床结局的主要因素。为进一步规范营养支持治疗流程,由中华医学会肠外肠内营养学分会(CSPEN)组织国内近百位相关领域的专家,基于现有的循证医学证据,围绕以下主题进行阐述:营养筛查及评估;营养不良的诊断及监测;营养支持治疗的诊疗流程、供能目标及卫生经济学效益;肠内营养(EN)和肠外营养(PN)的适应证、启动时机、输注方式及配方的选择;营养支持治疗耐受性的监测、并发症的预防及管理等,最终提出37个问题、60条推荐意见,旨在为肠外肠内营养的临床规范应用提供参考。
Malnutrition refers to the state of energy or nutrient deficiency caused by insufficient intake or utilization,which is the main factor leading to adverse clinical outcomes.In order to further standardize the nutritional support treatment process,nearly 100 experts in related fields were organized by the Chinese Society of Parenteral and Enteral Nutrition(CSPEN)to elaborate on the following topics based on the existing evidence-based medical evidence:nutritional screening and assessment;diagnosis and monitoring of malnutrition;diagnosis and treatment process,energy targets and health economic benefits of nutritional support therapy;indication,starting time,infusion mode and formula selection of enteral nutrition(EN)and parenteral nutrition(PN);monitoring of tolerance of nutritional support treatment,prevention and management of complications,etc.Finally,37 questions and 60 recommendations were put forward to provide reference for clinical standard application of parenteral and enteral nutrition.
作者
中华医学会肠外肠内营养学分会
杨桦
朱明炜
陈伟
王新颖
余震
李增宁
周建平
周岩冰
彭俊生
陈莲珍
许红霞
李孟彬
江华
高纯
梁斌
邵春海
周华
贾震易
Chinese Society of Parenteral and Enteral Nutrition(CSPEN);Yang Hua;Zhu Mingwei;Chen Wei;Wang Xinying(不详;Department of General Surgery,Chongqing General Hospital,Chongqing 400037,China;Department of General Surgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Clinical Nutrition,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China;Department of General Surgery Nutrition,General Hospital of Eastern Theater Command,Nanjing 210002,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2023年第13期946-974,共29页
National Medical Journal of China
基金
国家重点研发计划(2022YFA1304004)
中国医学科学院医学与健康科技创新工程(2021-I2M-C&T-B-094)
关键词
肠外营养
肠内营养
成人
营养筛查
营养评估
临床指南
Parenteral nutrition
Enteral nutrition
Adult
Nutrition screening
Nutrition assessment
Clinical guideline
作者简介
通信作者:杨桦,重庆市人民医院普外科,重庆400037,Email:hwbyang@126.com;通信作者:朱明炜,北京医院普外科国家老年医学中心中国医学科学院老年医学研究院,北京100730,Email:zhumw2013@163.com;通信作者:陈伟,中国医学科学院北京协和医学院北京协和医院临床营养科,北京100730,Email:txchenwei@sina.com;通信作者:王新颖,东部战区总医院普外科,南京210002,Email:wangxinying@nju.edu.cn
