中国实用外科杂志2024，Vol.44Issue(2)：148-151,4.DOI:10.19538/j.cjps.issn1005-2208.2024.02.06
外科重症病人实施肠内营养的难点及对策
Difficulties and countermeasures in the implementation of enteral nutrition in Surgical critically ill patients
摘要
Abstract
Almost all surgeons recognize early enteral nutrition benefits surgical critically ill patients but it is still a huge challenge to provide a fulfilled early enteral nutrition to surgical critically ill patients.First,early risk prediction may help to reduce surgical injury to the gastrointestinal tract in surgical critically ill patients.Second,optimization of enteral nutrition with other critical care management may reduce iatrogenic injury,such as feeding-associated intestinal ischemia or perforation.Third,assessment of nutritional status,nutritional risks,and nutritional requirements should be appropriately applied before enteral nutrition.Assessment of gastrointestinal tract structure,perfusion,function,feeding intolerance,and nutritional effectiveness should be appropriately applied after enteral nutrition.Surgical critically ill patients are frequently complicated with acute gastrointestinal injury and feeding intolerance.Gastrointestinal ultrasound combined with other clinical parameters could help with a better assessment in critical care management and also in providing enteral nutrition,further improving clinical enteral nutrition effectiveness.Enteral nutrition is part of critical care management in surgical critically ill patients.A correct and renewed peri-intensive care management concept will make nutrition therapy improve the prognosis of surgical critically ill patients.关键词
重症医学/肠内营养/急性胃肠道损伤/胃肠超声/喂养不耐受/营养评估Key words
critical care medicine/enteral nutrition/acute gastrointestinal injury/gastrointestinal ultrasound/feeding intolerance/nutrition assessment分类
医药卫生引用本文复制引用
马晓春,杜宇荣,朱然..外科重症病人实施肠内营养的难点及对策[J].中国实用外科杂志,2024,44(2):148-151,4.基金项目
国家自然科学基金面上科学基金项目(No.82172130) （No.82172130）
