新生儿肠外营养管理专家共识(2025)  

Expert consensus on parenteral nutrition management in neonates(2025)

作　　者：中国医师协会新生儿科医师分会营养专业委员会 中国医师协会新生儿科医师分会早产儿专业委员会 《中国当代儿科杂志》编辑委员会 童笑梅[2] 陈超[3] 张蓉[3] 林新祝 常艳美[2] 李正红[5] 刘喜红 贝斐 Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association;Preterm Committee of Neonatology Branch of Chinese Medical Doctor Association;Editorial Committee of Chinese Journal of Contemporary Pediatrics;Tong X-M;Chen C

机构地区：[1]不详 [2]北京大学第三医院 [3]复旦大学附属儿科医院/国家卫健委新生儿疾病重点实验室 [4]厦门大学附属妇女儿童医院/厦门市妇幼保健院 [5]中国医学科学院北京协和医学院/北京协和医院/疑难重症及罕见病国家重点实验室 [6]广州市妇女儿童医疗中心 [7]上海交通大学医学院附属上海儿童医学中心

出　　处：《中国当代儿科杂志》2025年第3期247-261,共15页Chinese Journal of Contemporary Pediatrics

基　　金：北京大学第三医院临床队列建设项目(BYSYDL2019008)。

摘　　要：肠外营养(parenteral nutrition,PN)已广泛应用于新生儿医学领域,对于不能通过肠内营养满足机体能量和各种营养素需求的危重新生儿或早产儿是挽救生命的一项重要治疗措施。为进一步规范和优化PN的临床管理,基于国内外相关研究进展,该共识制订工作组采用证据推荐分级的评估、制订与评价方法,对PN的适应证、应用途径、能量、液体量、营养液组成、停止时机及监测等7个方面提出24条推荐意见,旨在为相关从业人员提供PN管理的建议,以改善新生儿近远期预后。Parenteral nutrition(PN)is widely utilized in the field of neonatology and is a critical life-saving intervention for critically ill neonates or preterm infants who cannot meet their energy and nutrient needs through enteral feeding.To further standardize and optimize the clinical management of PN,this consensus was developed by a working group based on relevant research progress both domestically and internationally.Employing the Grading of Recommendations Assessment,Development and Evaluation,the consensus presents 24 recommendations covering seven aspects of PN:indications,administration routes,energy,fluid volume,composition of nutritional solutions,timing of cessation,and monitoring.The aim is to provide guidance for relevant practitioners in PN management to improve the short-term and long-term outcomes for neonates.

关 键 词：肠外营养 营养素 氨基酸 脂肪乳 专家共识 早产儿 

分 类 号：R722.1[医药卫生—儿科] R459.3[医药卫生—临床医学]