重症急性胰腺炎的营养支持:评定、路径与时机

Nutritional therapy for severe acute pancreatitis:assessment,route and timing

营养支持是重症急性胰腺炎(severe acute pancreatitis,SAP)治疗的核心问题之一,随着近年对SAP营养支持治疗研究的不断进步,关于SAP患者营养支持的策略、方法、途径等有了更多的证据。同时,SAP发病机制及重症患者急性期代谢特点研究的不断深入,有助于从病理生理及发病机制方面更好地理解SAP营养支持策略。该文就近年SAP营养支持的热点和难点进行讨论分析,以期能更好地理解当前进展及个体化实施营养方案。

Nutritional support is one of the core issues in the treatment of severe acute pancreatitis(SAP).Recently,with continued advances in this field,more and more evidences were found in the strategies,methods and routes of nutritional support for patients with SAP.Meanwhile,with deeper understanding of pathogenesis and metabolic characteristics of severe patients in acute phase,we may have a better understanding in the strategies of nutritional support from the pathogenesis and pathophysiology aspects.In this paper,we discuss the hotspots and challenges over recent year in the nutritional support of SAP.We aim to give a clear insight into current progress and help to individualize the nutritional program.