监测与评估是实现理想营养治疗的基石

Monitoring and assessment lead to optimal nutritional therapy

近年来危重症患者的营养治疗得到了不断发展,但是为每位患者提供最佳的营养治疗仍在继续。营养监测和评估对于认识和理解危重症患者营养治疗面临的异质性挑战非常重要。可测量的反映患者的生物过程、致病状态或对营养干预的代谢反应的指标将是实现最佳营养目标的保证。指导个体化营养治疗更重要的是了解营养、胃肠道和危重症之间的病理生理变化的相互作用。本文围绕危重症营养评估与营养治疗监测进行重点讨论,同时讨论营养监测在重症患者治疗中的可行性和价值。

While nutrition therapy in critically ill patients has been improved in decades,continuous efforts to reach optimal nutrition therapy for each individual patient are still being made.Nutritional monitoring and assessment are important to analyze and understand the challenges of heterogeneity in critical ill patients.Measurable indicators of biological processes,pathogenic states,or metabolic responding to nutritional interventions can guarantee the achievement of optimal nutrition goal.More effective guidance to individualized nutrition therapy is to understand the interplay of pathophysiologic changes between nutrition,gastrointestinal tract,and critical illness.This article focuses on nutrition monitoring in critical ill patients during nutrition therapy and some nutritional biomarkers,and also discusses the feasibility and availability in the critical care setting.