成人胃肠功能障碍患者医学营养治疗指南(2025版)  

Guideline for medical nutritional treatment of adult patients with gastrointestinal dysfunction(2025 edition)

作　　者：无 朱明炜[2] 杨桦 王新颖 Chinese Society of Parenteral and Enteral Nutrition;Zhu Mingwei;Yang Hua;Wang Xinying(不详;Department of General Surgery,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of General Surgery,Chongqing General Hospital,Chongqing 400037,China;Department of General Surgery Nutrition,General Hospital of Eastern Theater Command,Nanjing 210002,China)

机构地区：[1]中华医学会肠外肠内营养学分会 [2]北京医院普外科国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [3]重庆市人民医院普外科,重庆400037 [4]东部战区总医院普外科,南京210002

出　　处：《中华医学杂志》2025年第1期21-47,共27页National Medical Journal of China

基　　金：国家重点研发计划(2022YFC2010101);国家自然科学基金(82370567);中国食品科学技术学会食品科技基金(2020-14)。

摘　　要：胃肠功能障碍为临床常见病症, 因胃肠道消化、吸收功能异常, 导致营养素、水、电解质等吸收能力下降, 需要科学合理地进行营养干预。为进一步规范胃肠功能障碍患者的医学营养治疗, 由中华医学会肠外肠内营养学分会(CSPEN)组织国内相关领域的专家学者, 基于目前循证医学证据, 围绕以下主题进行阐述:胃肠功能障碍患者医学营养治疗的标准流程、肠内及肠外营养应用时机及方式、特殊疾病状态下的胃肠功能障碍的营养干预方式等, 最终形成29个问题、58条推荐意见, 旨在为胃肠功能障碍患者的医学营养治疗规范应用提供参考。Gastrointestinal dysfunction is a common clinical disease.Due to abnormal gastrointestinal digestive and absorption functions,nutrients,water,and electrolytes cannot be absorbed properly,and therefore,scientific and reasonable nutritional intervention is needed.In order to further standardize medical nutrition treatment of patients with gastrointestinal dysfunction,the Chinese Society of Parenteral and Enteral Nutrition(CSPEN)organized experts and scholars in related fields in China to elaborate on the following topics based on current evidence-based medical evidence:the standard process of medical nutrition treatment for patients with gastrointestinal dysfunction,the time and mode of enteral and parenteral nutrition application,and the nutritional intervention mode for patients with gastrointestinal dysfunction in special disease state.Finally,29 questions and 58 recommendations were formed to provide reference for the standardized application of medical nutrition therapy for patients with gastrointestinal dysfunction.

关 键 词：胃肠疾病 成人患者 肠内营养 肠外营养 临床指南 

分 类 号：R57[医药卫生—消化系统]