Weissman C
Department of Anesthesiology and Critical Care Medicine, Hebrew University-Hadassah, School of Medicine, Jerusalem, Israel.
Crit Care. 1999;3(5):R67-75. doi: 10.1186/cc360. Epub 1999 Sep 17.
Nutritional support has become a routine part of the care of the critically ill patient. It is an adjunctive therapy, the main goal of which is to attenuate the development of malnutrition, yet the effectiveness of nutritional support is often thwarted by an underlying hostile metabolic milieu. This requires that these metabolic changes be taken into consideration when designing nutritional regimens for such patients. There is also a need to conduct large, multi-center studies to acquire more knowledge of the cost-benefit and cost effectiveness of nutritional support in the critically ill.
营养支持已成为危重症患者护理的常规组成部分。它是一种辅助治疗，其主要目标是减轻营养不良的发展，然而营养支持的有效性常常受到潜在不良代谢环境的阻碍。这就要求在为这类患者设计营养方案时考虑这些代谢变化。还需要开展大型多中心研究，以获取更多关于危重症患者营养支持的成本效益和成本效果的知识。
