2024年《ESPEN微量营养素精简实践指南》解读  

Interpretation of 2024 ESPEN practical short micronutrient guideline

作　　者：张知格 谈善军[1,2] 奚秋磊 严明月[1,2] 吴国豪 ZHANG Zhige;TAN Shanjun;XI Qiulei;YAN Mingyue;WU Guohao(Department of Gastrointestinal Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Shanghai Clinical Nutrition Research Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院胃肠外科,上海200032 [2]上海市临床营养研究中心,上海200032

出　　处：《中国临床医学》2024年第4期668-686,共19页Chinese Journal of Clinical Medicine

基　　金：国家自然科学基金(82373412);上海市“医苑新星”青年医学人才培养资助计划[沪卫人事(2022)65号];复旦大学附属中山医院优秀青年人才计划(2021ZSYQ14)。

摘　　要：微量营养素包括微量元素和维生素,是人体新陈代谢所必需。缺乏微量营养素对机体新陈代谢造成不利影响,给临床营养治疗带来挑战。为规范微量营养素在临床实践中的应用,欧洲临床营养与代谢协会(European Society for Clinical Nutrition and Metabolism,ESPEN)于2024年1月发表《ESPEN微量营养素精简实践指南》,该指南在前版基础上精简生化及生理机制,聚焦微量营养素缺乏与炎症,对不同疾病状态下的微量营养素如何评估与补充进行推荐,以方便临床应用。本文对具体推荐意见及评论进行整理总结,供国内同行学习、交流,为我国微量营养素治疗规范化管理提供参考。Trace elements and vitamins are essential micronutrients for metabolism. Micronutrients deficiency results in adverse effects on human body, and brings huge challenge to clinical nutrition therapy. To normalize micronutrients application in clinical practice, European Society for Clinical Nutrition and Metabolism(ESPEN) published ESPEN practical short micronutrient guideline on January 2024. Based on previous version published in 2022, current guideline shortens the interpretation of biochemical and physical mechanisms, focuses on micronutrients deficiency and inflammation, recommends the methods of micronutrients assessment and supplementation in different statuses during clinical practices. This paper summarizes specific recommendations and comments for domestic peers to communicate, and provides reference for the management of micronutrient therapy in China.

关 键 词：微量元素 临床营养 指南 维生素 

分 类 号：R151[医药卫生—营养与食品卫生学]