Parrish Carol Rees, McCray Stacey Falls
University of Virginia Health Sciences Center, Division of Gastroenterology/Department of Nutrition Services in Charlottesville, VA, USA.
Crit Care Nurse. 2003 Feb;23(1):77-80.
Nutrition support is a hotly debated topic in most intensive care units. Is enteral nutrition or TPN best? Is gastric or small-bowel feeding safer? Are specialized formulas needed? These are only some of the issues, and the fact remains that there is a paucity of clear, solid data. Folklore has become the standard of practice in many areas of medicine; it is richly found in nutrition support. We must be careful not to get caught up in the trappings of our beliefs about nutrition support. Instead, we must continue to evaluate our own practices and fine-tune our skills of clinical assessment and common sense.
营养支持是大多数重症监护病房中一个备受争议的话题。肠内营养还是全胃肠外营养（TPN）更好？胃饲还是小肠饲更安全？是否需要特殊配方？这些只是其中的一些问题，而事实仍然是缺乏清晰、确凿的数据。在医学的许多领域，经验已成为实践标准；在营养支持方面更是屡见不鲜。我们必须小心，不要陷入我们对营养支持的固有观念中。相反，我们必须继续评估自己的做法，不断优化临床评估技能和常识。
