慢性肝病患者肠外肠内营养支持与膳食干预专家共识  

Consensus on the clinical nutritional intervention for patients with chronic liver diseases

作　　者：侯维[1] 蒋朱明[2] 杨剑[3] 许静涌[4] Belting Medical Association Committee of Parenteral and Enteral Nutrition;Expert Panel on Consensus on the parenteral and Enteral Nutritional and the Dietary Intervention for Patients with Chronic Liver Diseases

机构地区：[1]首都医科大学附属北京佑安医院肝病重症医学科 [2]北京协和医院基本外科 [3]第三军医大学大坪医院营养科 [4]北京医院国家老年医学中心普通外科

出　　处：《临床肝胆病杂志》2017年第7期1236-1245,共10页Journal of Clinical Hepatology

摘　　要：肝脏是人体最重要的代谢器官。肝脏疾病时可出现复杂的营养素代谢改变和不同程度的营养不良(不足),而营养状态又反过来影响肝病的发生、发展和预后,形成恶性循环。营养支持(肠外营养支持、肠内营养支持、膳食干预)在慢性肝病患者(代偿期/失代偿期肝硬化、慢加急/亚急性肝衰竭、慢性肝衰竭)的治疗中起重要作用。但此领域缺少大样本、高质量的临床研究报告,且国内尚无有关临床诊疗的共识。从"合理应用营养支持疗法,改善慢性肝病患者临床结局"出发,本共识专家组系统总结相关文献,并结合我国慢性肝病的临床实践,完成此共识,以期为慢性肝病的临床诊疗提供参考。Liver is the most important metabolic organ in the human body.The varying nutrient metabolism and malnutrition（undernutrition） occur in people with chronic liver diseases.Malnutrition and chronic liver damage are reciprocal causation,leading to form a vicious spiral.Whether nutritional support for patients with chronic liver disease（compensated or decompensated cirrhosis,acute on chronic liver failure and chronic liver failure） can play a role in improving the outcome is the focus of our attention.In recent years,there is still lack of large sample,high quality clinical reports in this field.Based on systematic review of major literatures and clinical practice of chronic liver disease in our country,this consensus would provide references for physicians,nurses,dietitians and pharmacists in clinical work related to chronic liver disease.

关 键 词：慢性肝病 营养支持 专家共识 

分 类 号：R459.3[医药卫生—治疗学] R575[医药卫生—临床医学]