摘要
早期肠内营养(EEN)定义为患者住院后48 h内启动的肠内营养(EN),无关乎其剂量与类型。最近欧洲危重病学会(ESICM)聚焦成年重症患者经常被延迟肠内营养(DEN)的24种特殊临床情况,通过循证医学方法比较EEN与早期肠外营养及DEN的利弊,提出7条利于DEN推荐建议和17条利于EEN推荐建议,制定了《重症患者早期肠内营养:ESICM临床实践指南》并于2017年3月在Intensive Care Medicine杂志上发表。本文将介绍该指南的制定背景、推荐建议与理由。
Early enteral nutrition(EEN)is defined as enteral nutrition(EN)started within first 48h independent of type or amount after hospital admission.The European Society of Intensive Care Medicine(ESICM)recently updated 7 recommendations/suggestions of delayed EN(DEN)and 17 recommendations/suggestions of EEN for critically ill patients according to the clinical trials of comparisons between EEN and early parenteral nutrition(EPN)or DEN,which named Early Enteral Nutrition in Critically Ill Patients:ESICM Clinical Practice Guidelines and published in Intensive Care Medicine in March 2017.Here we interpret the background,recommendations/suggestions and the rational of this guideline.
作者
何振扬
He Zhenyang(Department of Critical Care Medicine,Hainan General Hospital,Haikou 570311,China)
出处
《中华重症医学电子杂志》
2018年第1期51-56,共6页
Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)
关键词
早期肠内营养
延迟肠内营养
早期肠外营养
喂养不耐受
Early enteral nutrition(EEN)
Delayed enteral nutrition(DEN)
Early parenteral nutrition(EPN)
Feeding intolerance(FI)
