胰腺炎营养治疗国际共识指南-guo-20126.docxVIP

International Consensus Guidelines for Nutrition Therapy in Pancreatitis胰腺炎营养治疗国际共识指南Apr 24, 2012 Version of RecordMar 28, 2012 OnlineFirst Version of Record?Platinum (A): guideline statement meeting the criteriafor high grade of evidence with uniform consensusacross multiple societal reports白金（A）：指南建议符合如下标准，具有高水平证据支持并且多个协会指南意见相一致?? Gold (B): guideline statement that meets criteria forlow/intermediate grade of evidence or where there islack of consensus across societal reports (at least 1societal report is in disagreement)黄金（B）：指南建议符合如下标准，中低水平证据支持，或者协会指南之间缺乏共识（至少一个协会指南建议不一致）?? Silver (C): guideline statement meeting the criteriafor high grade of evidence, published only in asingle societal report (consensus not applicable inthis case)白银（C）：指南建议符合如下标准，仅有一个协会发布的具有高水平证据支持的建议（共识不适用于此等情况）Table 4. Final Grade of Recommendation for International Consensus GuidelinesInternational Guidelines Recommendations—Grade CategorizationGrade of RecommendationNumber of SocietiesStrength of EvidenceConsensus AgreementA (platinum)Multiple societiesHigh level of evidenceConsensusB (gold)Multiple societiesIntermediate to low level of evidenceLack of consensusC (silver)Single societyHigh level of evidenceNA（not applicable）Indication for Nutrition Therapy营养治疗指征1. Pancreatitis patients are at nutrition risk and should be screened. (Grade B: Gold)1. 胰腺炎患者存在营养风险，应当进行营养筛查。(Grade B: Gold)2. For mild to moderate disease, analgesics, intravenous (IV) fluids, and nil per os (NPO) with a gradual advancement to diet (usually within 3–4 days) are recommended. (Grade C: Silver)2. 对于轻中度患者，推荐镇痛剂、静脉补液、从开始禁食（NPO）逐渐过渡到日常饮食（一般3-4天）。(Grade C: Silver)The need for nutrition therapy (NT) by the enteral or parenteral route should be based on the extent of disease and nutrition status of the patient.根据疾病严重程度和患者营养状态判断是否需要肠内或肠外营养治疗（NT）。3. NT is not generally needed for mild to moderate disease unless complications ensue. (Grade A: Platinum)3. 轻中度胰腺炎一般无需NT，除非并发症出现。(Grade A: Platinum)4. NT should be considered in any