基于国家第十版诊疗方案的新型冠状病毒感染住院患者的医学营养治疗

Medical nutrition therapy of coronavirus disease 2019 inpatients based on the tenth edition of the National Diagnosis and Treatment Protocol

新型冠状病毒感染住院患者多为重症和危重症,营养不良发生率高,是导致不良结局的关键因素。在国家新颁布的《新型冠状病毒感染诊疗方案(试行第十版)》中确定了医学营养治疗的基本原则,包括应加强营养风险评估,首选肠内营养,保证热量25~30 kcal/(kg·d)、蛋白质>1.2 g/(kg·d)的摄入,必要时加用肠外营养等。基于以上原则,北京医院细化了医学营养治疗具体措施,满足临床实践需要,以期提高医疗质量,降低新型冠状病毒感染者病死率。

Most hospitalized patients infected with coronavirus disease 2019(COVID-19)are in severe or critical condition,and malnutrition is a key factor contributing to adverse outcomes.The basic principles of medical nutrition therapy have been determined in the recently released tenth edition of the National Diagnosis and Treatment Protocol.The principles have promoted nutritional risk assessment,emphasized the preferred method of enteral nutrition,and recommended the daily intake of calories at 25 to 30 kcal/kg and protein at>1.2g/kg.Parenteral nutrition should be also added when necessary.Based on the above principles,Beijing Hospital has refined the medical nutrition therapy measures to facilitate the implementation in clinical practice,in order to improve healthcare quality and decrease the mortality in COVID-19 patients.