炎症性肠病肠内营养制剂选择

Enteral nutrition formula choice in inflammatory bowel disease

炎症性肠病(IBD)病人营养不良发生率较高,营养尤其是肠内营养是其重要的治疗措施。要素饮食和非要素饮食对炎症性肠病的疗效无明显差别,整蛋白、短肽及氨基酸单体型制剂各有其特点,应根据病情选择应用。肠内营养治疗炎症性肠病的机制是多方面的。目前营养支持治疗在大多数IBD病人中还是一种"辅助支持治疗"而非针对疾病本身的一种基础治疗,随着临床营养学的发展和对炎症性肠病认识的深入,肠内营养支持将会成为炎症性肠病的基本治疗措施。

Inflammatory bowel disease （IBD） patients （such as ulcerative colitis, Crohn＇s disease） usually have high incidence of malnutrition. Nutritional treatment, especially enteral nutrition, is an important treatment measures. Elements diet and the non-elemental diet for IBD therapeutic effect have not obvious difference. The formula of protein, peptide and amino acids has its characteristics. The application should be chosen individually. The mechanism of enteral nutrition therapy of IBD is various. So far nutrition support therapy in most patients with IBD is a kind of ＂auxiliary support treatment＂ against the disease itself rather than a kind of basic treatment. With the development of clinical nutrition and the understanding of IBD, enteral nutrition support will become the basic therapy of IBD.