肠外肠内营养制剂合理选择.PDF

中国普外基础与临床杂志 2017年6月第24卷第6期 • 1 •   ·综 述· 肠外肠内营养制剂的合理选择 陈博，孟翔凌 安徽医科大学第一附属医院胃肠外科（合肥  230022 ） 【摘要】   目的    促进肠外肠内营养制剂的临床合理应用。方法    对近年来国内外关于肠外肠内营养支持的 相关文献进行归纳和总结。结果     目前，肠内肠外营养制剂品种丰富，在围手术期和重症患者中应用广泛，合理 利用营养支持能够改善患者的不良临床结局。肠内营养制剂使用时应根据疾病种类而选用不同配方，必要时应 肠内肠外营养支持联合使用。肠外营养应用时应注意葡萄糖、脂肪乳、氨基酸、维生素等制剂的合理选择。结论    临 床须普及营养支持理论知识，医务工作者应重视肠内肠外营养制剂的合理选择。 【关键词】  肠外营养；肠内营养；营养不足；营养支持；临床应用 Rational application of parenteral and enteral nutrition preparations CHEN Bo, MENG Xiangling Department of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, P.R.China Corresponding author: MENG Xiangling, Email: anyimxl@ 【Abstract 】 Objective    To promote the clinical application of parenteral and enteral nutrition preparations in hospitalized patients. Methods    Domestic and foreign articles about parenteral and enteral nutrition support were enrolled to make a review. Results    Nowadays, parenteral and enteral nutrition played an important role in the medical treatment of perioperative and critically ill patients. Rational nutrition support could improve the condition of patients with nutritional risk and result in better clinical outcomes. Different enteral nutrition formulations should be used according to the diseases. Supplementally parenteral nutrition may also be useful in combination with enteral nutrition to reach the required intake targets. We should pay attention to the application of glucose, lipid emulsion, amino acids, vitamins, and so on, when performed parenteral nutrition support. Conclusion    It is necessary to standardize parenteral and enteral nutrition support in the work of clinical practice, including the application of nutrition support and selection of nut