以加速康复外科为契机优化围手术期营养管理

Optimizing perioperative nutrition management in enhanced recovery after surgery

随着加速康复外科(ERAS)理念的广泛推广,营养支持治疗的规范管理日益受到重视。其中,围手术期全程营养管理策略主要包括营养风险筛查和营养评定、围手术期营养干预、出院后营养随访等环节。随着ERAS临床研究的深入和证据的积累,ERAS中营养支持疗法的实施策略将会更加规范和完备。但该方面仍需要更多营养支持治疗方面的高质量循证研究证据,以建立规范化的ERAS全程营养管理流程。

As the concept of enhanced recovery after surgery (ERAS) have been widely promoted and applied in clinical practice, reasonable nutrition intervention strategy has been paid more and more attention. The whole-process nutrition management strategy has been optimized based on the ERAS concept, which mainly includes key points such as pre-operative nutrition screening and nutrition assessment, perioperative nutrition treatment, and post-discharge nutritional support. With more and more research evidences, the ERAS strategy would be more detailed and complete. Further nutrition-related high-quality researches is necessary to provide evidence support, aiming to establish a standardized, ERAS-optimized, whole-process nutrition management pathway.