摘要
炎症性肠病(inflammatory bowel disease,IBD)是一组发病机制尚不完全清楚的慢性非特异性肠道炎症性疾病,饮食可能是病理启动因素,并常伴有营养不良。IBD营养支持不但能够改善患者营养状况,提高生活质量,减少手术并发症,还能够诱导和维持克罗恩病(CD)缓解,促进黏膜愈合,降低炎症因子,改善自然病程,并对炎症性肠病所导致的青少年患者的生长发育迟缓具有治疗和改善作用。具体实施过程中的营养膳食干预、肠内营养、肠外营养治疗均有其利弊,必要时联合肠内、肠外营养以及免疫肠内营养、生态肠内营养等治疗形式往往可以取得更好的治疗效果。同时,在营养支持治疗过程中要进行治疗适应症的判断、危险因素分析和效果评估,对于需要长期营养支持的患者,要进行专业指导随访,并推荐进行家庭营养支持。
Inflammatory Bowel Disease（ IBD） is a group of chronic nonspecific intestinal inflammatory diseases with pathogeny still not very clear.The diet may be the pathological priming factors, and often accompanied by malnutrition.IBD nutritional support not only can improve the nutritional status of the patients, improve the quality of life, reduce operation complication, but also able to induce and maintain remission in Crohn’ s disease （ CD） , mucosal healing, reduce inflammatory factors, improve the natural course of disease, and inflammatory bowel disease caused by adolescents with growth retardation with treatment and improve the role.The specific implementation process of nutrition dietary intervention, enteral nutrition, parenteral nutrition therapy has its advantages and disadvantages, when necessary, combined with enteral, parenteral nutrition and immune enteral nutrition, enteral nutrition and other forms of ecological treatment can often get better therapeutic effect.At the same time, in the nutritional support treatment process, it needs to carry out the treatment indication judgement, risk factor analysis and effect evaluation, and for the patients of long-term nu-tritional support, it needs professional guidance for follow-up, home nutrition support and recommend.
出处
《中国老年保健医学》
2015年第3期60-63,共4页
Chinese Journal of Geriatric Care
关键词
炎症性肠病
营养支持
进展
Inflammatory bowel disease
Nutrition support therapy
progress
