摘要
成人心脏手术的重症患者常因存在营养不良或营养风险而需要进行营养支持治疗.目前针对体外循环术后患者的围手术期营养支持相关研究非常有限,如何通过规范地实施营养支持治疗来改善预后,学界中仍然有许多的不同意见.因此,中国医疗保健国际交流促进会心脏重症专业委员会和中国心脏重症营养支持专家委员会参照其他危重患者营养支持治疗经验并结合心脏手术特点,制定了《中国成人心脏外科围手术期营养支持治疗专家共识(2019)》,以期为成人心脏外科围手术期营养支持治疗提供合理的治疗意见.共识的主要内容包括营养风险筛查、何时启动营养支持、肠内与肠外应用、药物性营养治疗等方面.
Adult patients who underwent cardiac surgery usually need nutrition support therapy because of malnutrition or nutrition risk. There are quite a few studies about nutrition support therapy for patients in perioperative period of surgery after cardiopulmonary bypass, and also different opinions about how to normalize nutrition support therapy and improve prognosis in academic circles at present. Consequently, according to the experience of nutrition support therapy in critical patient and combining the trait of cardiac surgery, Chinese consensus guideline for nutrition support therapy in the perioperative period of adult cardiac surgery in 2019 is formulated by Cardiac Critical Care Medicine of China Internationgnal Exchange and Promotion for Medical and Healthcare and Nutrition Support Expert Committee of Chinese Cardiac Critical Care Medicine to provide proper suggestions. The content of consensus is included with screening nutrition risk, the timing of starting nutrition support, the utilization of enteral nutrition and parenteral nutrition, and pharmaceutical nutrition, etc.
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2019年第7期801-810,共10页
Chinese Critical Care Medicine
关键词
高危心脏外科手术
营养风险
补充性肠外营养
早期肠内营养
延迟肠内营养
药物性营养
High-risk cardiac surgery
Nutrition risk
Supplemental parenteral nutrition
Early enteral nutrition
Delayed enteral nutrition
Pharmaceutical nutrition
