摘要
2018年9月全球(营养)领导层倡议营养不良诊断标准共识(Global Leadership Initiative on Malnutrition diagnosis criteria consensus,GLIM)在线发表。对于腹部外科住院病人,因手术的应激反应会迅速耗尽机体的营养储备,从而影响其功能恢复和创口愈合。此外,腹部外科癌症病人会存在如糖尿病、亚临床器官功能障碍、免疫反应缺陷和实行新辅助治疗等情况,可能损害营养储备,进一步影响病人的恢复。对于腹部外科住院病人,入院时有营养风险或营养不良时,应进行营养干预,同时将营养风险和营养不良两个疾病名称填写在出院病案的首页,以便大数据收集系统看到代码,让需要营养支持的病人可以通过疾病诊断相关组(diagnosis related groups,DRG)和按病种分值付费(diagnosis-intervention packet,DIP)对其进行医疗补偿费用,减少病人经济负担。
In September 2018,Global Leadership Initiative on Malnutrition diagnosis criteria consensus(GLIM)was promulgated online.For hospitalized patients with abdominal surgery,stress response will quickly deplete their nutritional reserves and adversely affect functional recovery and wound healing.Also cancer patients in abdominal surgery may suffer from diabetes,subclinical organ dysfunction and immune deficiency.Neoadjuvant therapy lowers nutritional reserve and further affects postoperative recovery.For hospitalized patients undergoing abdominal surgery,nutritional intervention should target nutritional risks or malnutrition at admission.At the same time,the names of nutritional risk and malnutrition should be filled on the first page of discharge record for an easier detection of big data collection system so that patients requiring nutritional supports may be compensated properly through diagnosis related groups(DRG)and diagnosis-intervention packet(DIP).
作者
张献娜
蒋朱明
刘志强
吴河水
Zhang Xianna;Jiang Zhuming;Liu Zhiqiang;Wu Heshui(Department of Pancreatic Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science&Technology,Hubei Wuhan 430022,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)
出处
《腹部外科》
2022年第1期12-17,共6页
Journal of Abdominal Surgery
基金
国家自然科学基金青年科学基金(8210114330)。
