基于国家第十版诊疗方案的新型冠状病毒感染住院患者的医学营养治疗  

Medical nutrition therapy of coronavirus disease 2019 inpatients based on the tenth edition of the National Diagnosis and Treatment Protocol

作　　者：朱明炜[1,2] 丁丽丽[1] 陈丽如[1] 崔红元[2] 韦军民[2] Zhu Mingwei;Ding Lili;Chen Liru;Cui Hongyuan;Wei Junmin(Department of Clinical Nutrition,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of General Surgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院临床营养科、国家老年医学中心、中国医学科学院老年医学研究院,100730 [2]北京医院普通外科、国家老年医学中心、中国医学科学院老年医学研究院,100730

出　　处：《中华临床营养杂志》2023年第1期54-57,共4页Chinese Journal of Clinical Nutrition

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-I2M-C&T-B-094)。

摘　　要：新型冠状病毒感染住院患者多为重症和危重症,营养不良发生率高,是导致不良结局的关键因素。在国家新颁布的《新型冠状病毒感染诊疗方案(试行第十版)》中确定了医学营养治疗的基本原则,包括应加强营养风险评估,首选肠内营养,保证热量25~30 kcal/(kg·d)、蛋白质>1.2 g/(kg·d)的摄入,必要时加用肠外营养等。基于以上原则,北京医院细化了医学营养治疗具体措施,满足临床实践需要,以期提高医疗质量,降低新型冠状病毒感染者病死率。Most hospitalized patients infected with coronavirus disease 2019(COVID-19)are in severe or critical condition,and malnutrition is a key factor contributing to adverse outcomes.The basic principles of medical nutrition therapy have been determined in the recently released tenth edition of the National Diagnosis and Treatment Protocol.The principles have promoted nutritional risk assessment,emphasized the preferred method of enteral nutrition,and recommended the daily intake of calories at 25 to 30 kcal/kg and protein at>1.2g/kg.Parenteral nutrition should be also added when necessary.Based on the above principles,Beijing Hospital has refined the medical nutrition therapy measures to facilitate the implementation in clinical practice,in order to improve healthcare quality and decrease the mortality in COVID-19 patients.

关 键 词：新冠病毒感染 住院患者 营养不良 医学营养治疗 临床结局 

分 类 号：R563.1[医药卫生—呼吸系统] R459.3[医药卫生—内科学]