炎症性肠病营养支持治疗进展

Progress of nutritional support therapy in patients with inflammatory bowel disease

炎症性肠病(IBD)是一类病因不明的慢性非特异性肠道炎症疾病,营养不良是其主要的临床表现之一,与IBD疾病活动程度、疾病病程和病变累及的部位有关,也是影响IBD患者预后的重要因素之一,因此营养支持治疗在IBD人群中十分重要意义。近年来,国内外在研究IBD营养支持治疗的机制、适应证以及治疗方法等方面取得了较多的进展,本文就IBD患者在疾病进展过程中的营养状态变化及评估方法、能量需求、以及营养支持治疗等方面做此综述,旨在完善和提高IBD患者营养支持治疗的临床应用。

Inflammatory bowel disease（IBD） is a kincl of chronic non specific intestinal inflammatory disease with unclear etiology. One of the main clinical manifestations of IBD is malnutrition, which is related to the degree of the disease activity, disease course, and involved lesion. Malnutrition is also an important factor for patients＇ prognosis. Therefore, nutritional support therapy is an essential method for patients with IBD. In recent years, much progress has achieved in the mechanisms, indications, and therapy methods of IBD nutritional support therapy. This article reviews the recent studies of changes of nutritional status, assessment methods, energy requirement, and nutritional support therapy in patients with IBD to improve the clinical application of nutritional support therapy.