危重病人营养支持指导意见（草案..doc

危重病人营养支持指导意见（草案） 2006年5月 工作小组成员（按姓氏笔划） 万献尧汤耀卿林洪远马晓春≥10％Villet S, Chiolero RL, Bollmann MD, et al. Negative impact of hypocaloric feeding and energy balance on clinical outcome in ICU patients. Clin Nutr, 2005,24:502-9. Simpson F, Doig GS. Parenteral vs. enteral nutrition in the critically ill patient: a meta-analysis of trials using the intention to treat principle. Intensive Care Med. 2005 31(1):12-23. Epub 2004 Dec 9.. Lewis Rubinson, MD, Gregory B. Diette, MD, MHS, Xiaoyan Song, MD, MHS, et al. Low Caloric Intake is Associated With Nosocomial Bloodstream Infections in Patients in the Medical Intensive Care Unit. Crit Care Med, 2004, 32:350-7. Barr J, Hecht M, Flavin KE, et al. Outcomes in critically ill patients before and after the implementation of an evidence-based nutritional management protocol. Chest, 2004,125:1446-57. Van den Berghe, G, Wouters, P, Weekers, F, et al. Intensive Insulin Therapy in Critically Ill Patients. N Engl J Med, 2001,345:1359-1367 1.4 营养支持途径（parenteral nutrition, PN）（enteral nutrition, EN）。Braunschweig CL, Levy P, Sheean PM, et al. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr , 2001,74:534-42. Gramlich L, Kichian K, Pinilla J, et al. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition, 2004,20:843-8. Heyland DK, Dhaliwal R, Drover JW, et al. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. JPEN , 2003,27:355-73. Kudsk KA. Effect of route and type of nutrition on intestine-derived inflammatory responses. Am J Surg, 2003,185:16-21. Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med, 2001,29:2264-70. Booth CM, Heyland DK, Paterson WG: Gastrointestinal promotility drugs in the critical care setting: A systematic review of the evidence. Crit Care Med 30:1429-1435, 2002 Wo