外科危重病人营养支持治疗的热点问题及对策

Q4 Medicine 中华消化外科杂志 Pub Date : 2019-10-20 DOI:10.3760/CMA.J.ISSN.1673-9752.2019.010.003

Guohao Wu

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引用次数: 0

摘要

营养治疗是外科危重病人最重要的治疗措施之一，也是临床营养支持实践中的难点。近年来，外科危重病人的营养支持治疗在理论和实践上都取得了快速发展。在世界范围内完成了许多大规模、多中心的临床研究。在许多热点问题上形成了共识，并发布了相关指导意见。基于最新的循证医学成果，笔者对近年来外科危重病人营养治疗的热点和争议问题进行了总结和解读。关键词:危重症;手术;营养支持;肠外营养;肠内营养

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Hotspot issues and countermeasures in nutritional support treatment for critically ill surgical patients

Nutritional therapy is one of the most important treatment measures for surgical critically ill patients, and it is also a difficult point in clinical nutritional support practice. In recent years, nutritional support treatment for surgical critically ill patients has achieved rapid development both in theory and practice. Many large-scale, multi-center clinical studies have been completed worldwide. Consensus has been formed on many hot issues and relevant guidelines have been issued. Based on the latest evidence-based medicine achievements, the author summarizes and interprets the hot and controversial issues of nutritional therapy for surgical critically ill patients in recent years. Key words: Critical illness; Surgery; Nutritional support; Parenteral nutrition; Enteral nutrition

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