新型冠状病毒感染老年住院患者营养管理建议

Operational recommendations on nutrition management for elderly inpatients with COVID-19

新型冠状病毒(简称新冠病毒)感染老年住院患者常存在营养风险,重症发生率高。合理规范的营养支持治疗可有效改善患者的营养状况、生活质量和临床结局,是新冠病毒感染综合治疗的重要部分。营养支持治疗应遵循营养诊疗的标准流程,同时结合新冠病毒感染老年住院患者的临床特点,实施个体化的营养干预,并常规监测,以减少并发症的发生。北京协和医院临床营养科结合最新临床营养指南与新冠病毒感染临床营养支持实践,秉承循证、简洁和实用的原则,提出新冠病毒感染老年住院患者的营养管理建议,供临床医生和营养医师参考,以期有效地实施规范化的营养管理。

Elderly inpatients with coronavirus disease 2019(COVID-19)are often at nutritional risk and at higher risk of critical disease.The standardized nutrition treatment could effectively improve the nutritional status,quality of life,and clinical outcomes of COVID-19 patients,and is an important component of the comprehensive management of COVID-19.The individualized nutrition diagnosis,treatment and monitoring should be conducted in compliance to standard procedures of medical nutrition therapy,with consideration of the clinical characteristics of elderly COVID-19 inpatients.The Department of Clinical Nutrition at Peking Union Medical College Hospital has integrated the latest clinical nutrition guidelines and clinical practice of nutrition support of COVID-19,with the aim to provide evidence-based,concise and practical recommendations on nutritional management for elderly inpatients with COVID-19.The recommendations here are to inform effective and standardized nutrition support practice.