炎症性肠病患者的营养支持治疗

Nutritional therapy in inflammatory bowel disease

溃疡性结肠炎和克罗恩病等炎症性肠病患者常伴有营养不良及生长发育障碍。营养支持治疗在炎症性肠病治疗中占有重要地位。应常规对炎症性肠病患者进行营养风险筛查,并采用适当方法进行营养评定,以便及时进行营养支持。肠内营养支持作为儿童克罗恩病患者诱导缓解和维持治疗的首选,在成人患者中作为药物的替代治疗。有多种营养制剂,不同患者对不同的营养制剂反应不同,需选择合适的制剂,进行个体化治疗,才能发挥营养制剂的最大效用。

The patients of inflammatory bowel disease（IBD）,such as ulcerative colitis（UC） and Grohn disease （CD） ,are often accompanied by malnutrition and growth retardation. Nutrition support plays an important role in the treatment of IBD. Nutritional risk screening should be performed routinely for patients of IBD and appropriate methods should be used to assess nutritional status. Enteral nutrition is the best dietary intervention for the induction of remission and maintenance of remission in Crohn disease in children,but a replacement for medication in adults. There is a variety of nutritional preparation. As different patients may have different reactions to different supplements, individualization therapy is very essential to maximize the function of nutritional support.