《2023年国际儿童肾脏营养工作组临床实践建议:儿童急性肾损伤的营养管理》解读  

Interpretation of“2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations:Nutritional Management of Children with Acute Kidney Injury”

作　　者：丁亚平 夏姗姗[1] 张晨美[1] DING Yaping;XIA Shanshan;ZHANG Chenmei(Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310057,Zhejiang,China)

机构地区：[1]浙江大学医学院附属儿童医院,浙江杭州310057

出　　处：《临床儿科杂志》2024年第8期667-672,共6页Journal of Clinical Pediatrics

基　　金：国家重点研发计划(No.2021YFC2701800,No.2021YFC2701801)。

摘　　要：急性肾损伤(AKI)是危重患儿常见的多脏器功能障碍之一,可造成蛋白质-能量消耗,加剧肾脏功能损害,致死率极高。鉴于AKI营养代谢机制复杂和缺乏相关基础研究,如何满足AKI患儿的营养需求面临更多挑战。国际儿童肾脏营养工作组制定了临床实践建议《儿童急性肾损伤的营养管理》,本文旨在对该建议进行解读,以期为国内儿科领域针对AKI患儿构建系统化的营养管理方案提供参考。Acute kidney injury is one of the most common multiple organ dysfunctions in critically ill children,which can cause protein-energy wasting,exacerbate renal impairment,and lead to extremely high mortality.Given the complexity of the nutritional and metabolic mechanisms of AKI and the lack of relevant basic research,and how to meet the nutritional needs of AKI substitutes faces more unique challenges.The Pediatric Kidney Injury Nutrition Working Group formulated the clinical practice recommendations of“Nutritional Management of Children with Acute Kidney Injury”.The purpose of this article is to interpret the recommendation,with a view to providing reference for the construction of a systematic nutritional management program for children with AKI in the in the domestic field of pediatrics.

关 键 词：急性肾损伤 营养 专家共识 儿童 

分 类 号：R726.9[医药卫生—儿科]