Shor R, Arden G, Shalev B, Halabe A
Department of Internal Medicine, Edith Wolfson Medical Centre, Sackler School of Medicine, Tel Aviv University.
Harefuah. 2004 Mar;143(3):205-9, 245.
Immunonutrition contains nutritional elements which generally carry a positive effect on the immune system when given in large amounts. The main nutrients included in immunonutrition are: L-arginine, L-glutamine, nucleotides, and polyunsaturated fatty acids. Patients fed with immunonutrition had less infectious complications, were mechanically ventilated for shorter periods of time, and their hospitalization period was shorter. Mortality rates were generally not improved. In 2001, the U.S. Summit on Immune-Enhancing Enteral Therapy listed groups of patients who would benefit from immunonutrition. The article includes these recommendations. In conclusion, physicians should familiarize themselves with the issue of immunonutrition and consider using it in specific groups of hospital patients.
免疫营养包含一些营养元素,当大量给予时,这些元素通常会对免疫系统产生积极影响。免疫营养中包含的主要营养素为:L-精氨酸、L-谷氨酰胺、核苷酸和多不饱和脂肪酸。接受免疫营养的患者感染并发症较少,机械通气时间较短,住院时间也较短。总体死亡率并未改善。2001年,美国免疫增强肠内治疗峰会列出了将从免疫营养中获益的患者群体。本文包含这些建议。总之,医生应熟悉免疫营养问题,并考虑在特定的住院患者群体中使用它。