肝脏外科疾病围手术期营养支持治疗的研究进展

Perioperative nutritional support in surgical liver diseases:recent advances

肝脏外科疾病围手术期的营养支持治疗在临床上越来越受到重视。消化系统疾病患者营养物质的摄入、消化、吸收及代谢常受到抑制,其营养支持率普遍高于其他系统疾病。肝脏处于物质代谢的中心,营养物质的代谢与肝功能状况联系紧密,肝脏外科疾病的营养支持特点有别于胃肠道疾病,不合理或过量的营养支持不但不能改善患者病情,还可能导致物质代谢紊乱,影响患者康复。笔者就肝脏外科疾病围手术期营养支持治疗的研究进展进行综述。

The importance of perioperative nutritional supportive treatment in surgical liver disease has been increasingly recognized. The prevalence of using nutritional support for patients with diseases of the digestive system is significantly higher than that for those with diseases of other systems, due to the restraint of nutrient intake, digestionj absorption and metabolism. Because the liver is the hub for metabolism and nutrient metabolism is closely associated with liver function status, the nutritional support mode for patients with surgical liver diseases is distinct from those with gastrointestinal tract diseases, and irrational or excessive nutritional support may not improve the patient＇s condition, but result in metabolic disorder, and thereby affect the recovery of patients. In this paper, the authors present the research progress in perioperative nutritional supportive treatment for surgical liver diseases.