《中国成人患者肠外肠内营养临床应用指南(2023版)》解读  

Interpretation of Guideline for clinical application of parenteral and enteral nutrition in adults patients in China 2023 edition

作　　者：章黎 王新颖 Zhang Li;Wang Xinying(Department of General Surgery,Jinling Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210002,Jiangsu China)

机构地区：[1]南京大学医学院附属金陵医院普通外科,江苏南京210002

出　　处：《肿瘤代谢与营养电子杂志》2023年第6期718-723,共6页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：国家自然科学基金项目(82170575)。

摘　　要：住院患者营养不良发生率高,合理的营养治疗能改善患者营养状况,降低应激损害,降低并发症发生率和病死率,从而加速患者康复。临床营养作为疾病治疗过程中不可缺少的重要组成部分,它的重要性越来越受到重视。建立规范化的临床营养诊疗路径以改善患者营养状况和临床结局是当今医学领域临床营养治疗的关键问题。2023年4月《中国成人患者肠外肠内营养临床应用指南(2023版)》正式发布,该指南基于已发表的临床营养指南及国内外最新临床证据,从营养筛查与评估、肠内营养及肠外营养临床实践等37个具体问题出发,提出60条推荐意见,全面概括了临床营养诊治原则和诊疗措施,提供了较为全面的营养治疗方案指导。本文将对该指南的部分重点内容进行解读,以期为临床患者的规范化营养诊疗及管理提供临床借鉴。The incidence of malnutrition in hospitalized patients is high,and proper nutritional treatment can improve the nutritional status of patients,reduce stress damage,reduce the incidence of complications and mortality,and thus accelerate the recovery of patients.As an indispensable and important part of the course of disease treatment,clinical nutrition has been paid more and more attention.Establishing a standardized clinical nutrition diagnosis and treatment path to improve patients'nutritional status and clinical outcomes is the key problem in the medical field.In April 2023,Guideline for clinical application of parenteral and enteral nutrition in adults patients in China(2023 edition)was officially published.Based on published clinical nutrition guidelines and the latest clinical evidence at home and abroad,the guidelines propose 60 recommendations from 37 specific issues such as nutrition screening and assessment,enteral nutrition,and parenteral nutrition clinical practice.It comprehensively summarizes the clinical diagnosis and treatment principles,which also provides more comprehensive nutritional treatment program guidance.This article will interpret some key contents of the guideline to provide a clinical reference for the standardized nutritional diagnosis,treatment,and management of patients.

关 键 词：指南 营养筛查 营养评估 肠内营养 肠外营养 

分 类 号：R459.3[医药卫生—治疗学]