摘要
肠外瘘至今仍是腹部外科棘手的并发症之一。其可引起内稳态失衡、感染、营养不良和多器官功能障碍等病理生理改变,病程迁延,治疗难度大,病人生活质量下降,治疗费用高,并发症的发生率和病死率较高。目前尚无系统规范的诊疗指南。营养不良与肠外瘘患病率、病死率和治愈率具有相关性,是肠外瘘治疗失败的主要原因之一。近年来,随着营养治疗的开展,肠外瘘病人自愈率逐渐升高,病死率明显下降。然而,规范化的营养干预应以合理的营养评估为基础,当前,国内仍以经验性营养治疗为主。以下针对肠外瘘的病理生理、营养评估和营养治疗作一综述。
Enterocutaneous fistulae （ECF） is a challenging surgeons and causes significant complications, which is best managed problem commonly encountered by by a multidisciplinary team. It not only prolongs hospital stay, but also restricts a patient＇s activities of daily living. Despite revolutionary advances in nutritional therapy, the morbidity and mortality after the formation of ECF remain high. Up to 70% of patients with ECF have malnutrition and it is a significant prognostic factor of spontaneous fistula closure. Individualized nutritional therapy is necessary to reverse the catabolic state associated with ECF patients. Once established, it allows proper time, preparation, and planning for definitive management of the fistula. Careful and thorough nutritional assessment is an important component of the strategy for nutritional therapy. The objective was to review the research progress of nutritional assessment and nutritional therapy in patients with ECF.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第3期183-186,共4页
Parenteral & Enteral Nutrition
关键词
肠外瘘
营养评估
营养治疗
Enterocutaneous fistulae
Nutrition assessment
Nutritional therapy
