肠外肠内营养制剂的合理选择

Rational application of parenteral and enteral nutrition preparations

目的促进肠外肠内营养制剂的临床合理应用。方法对近年来国内外关于肠外肠内营养支持的相关文献进行归纳和总结。结果目前,肠内肠外营养制剂品种丰富,在围手术期和重症患者中应用广泛,合理利用营养支持能够改善患者的不良临床结局。肠内营养制剂使用时应根据疾病种类而选用不同配方,必要时应肠内肠外营养支持联合使用。肠外营养应用时应注意葡萄糖、脂肪乳、氨基酸、维生素等制剂的合理选择。结论临床需普及营养支持理论知识,医务工作者应重视肠内肠外营养制剂的合理选择。

Objective To promote the clinical application of parenteral and enteral nutrition preparations in hospitalized patients. Methods Domestic and foreign articles about parenteral and enteral nutrition support were enrolled to make a review. Results Nowadays, parenteral and enteral nutrition played an important role in the medical treatment of perioperative and critically ill patients. Rational nutrition support could improve the condition of patients with nutritional risk and result in better clinical outcomes. Different enteral nutrition formulations should be used according to the diseases. Supplementally parenteral nutrition may also be useful in combination with enteral nutrition to reach the required intake targets. We should pay attention to the application of glucose, lipid emulsion, amino acids, vitamins, and so on, when performed parenteral nutrition support. Conclusion It is necessary to standardize parenteral and enteral nutrition support in the work of clinical practice, including the application of nutrition support and selection of nutrition preparations.