老年外科患者围手术期营养支持中国专家共识(2024版)

Chinese expert consensus on perioperative nutritional support for elderly surgical patients (2024)

我国社会老龄化程度日益加重, 接受外科手术的老年患者也随之增多。老年患者有合并症多、营养风险高、衰弱、器官功能下降等特点, 营养支持是老年外科患者围手术期的重要环节。目前, 国内外缺少老年患者围手术期营养支持指南或共识, 为推动本领域临床工作规范开展, 基于现有研究证据, 中国研究型医院学会老年外科专业委员会组织讨论并制定本共识, 从术前营养评定, 手术前后的营养支持适应证、目标、成分与途径, 营养并发症与管理、手术并发症的营养干预及营养随访等多方面提出建议, 以期为老年外科患者的规范营养支持提供指导。

The increasing aging population in China leads to an increase in the number of elderly patients undergoing surgical procedures.Elderly patients are characterized with conditions such as multiple comorbidities,high nutritional risk,frailty,decreased organ function,etc.Nutritional support is one of the most significant elements in the perioperative period of elderly surgical patients.Currently,there is a lack of guidelines or expert consensus on nutritional support.To promote the standardized development of clinical work in this field,the Geriatric Surgery Professional Committee of the Chinese Research Hospital Association gathered experts and formulated relevant recommendations for perioperative nutritional therapy for elderly surgical patients based on existing research evidence.This consensus included several parts:preoperative nutritional assessment,indications,goals,ingredients and approaches of perioperative nutritional support,nutritional complications and management,nutritional intervention for surgical complications,and nutritional follow-up.It is expected to provide valuable suggestions for standardizing nutritional support for elderly surgical patients.