规范化围术期营养支持治疗的策略

Strategy of standardized nutritional support therapy in the perioperative period

近年来,围术期营养支持治疗的作用越来越受到重视,唯有科学合理地行营养支持治疗,才能最大程度使患者受益.笔者结合国内外最新研究成果,分析营养风险筛查与营养状况评估、术前及术后营养支持治疗等关键环节的重要概念及重点问题,概括术后危重、肥胖及短肠综合征和肠衰竭等特殊外科患者的营养支持治疗进展,探讨规范化围术期营养支持治疗的策略.

In recent years,nutritional support therapy has been increasingly paid attention to scientific and reasonable using for patients.Based on the recent researches,the hot topics on the nutritional risk screening,nutritional status assessment and preoperative and postoperative nutritional support therapy were analyzed,and the strategies and progresses of nutritional support therapy for the postoperative critically ill patients,obese patients and short bowel syndromes or bowel failure patients were summarized,meanwhile,hot issues on the standardized nutritional support therapy in the perioperative period were explored in this article.