Heidegger Claudia-Paula, Thibault Ronan, Berger Mette M, Pichard Claude
Département d'anesthésiologie, pharmacologie et soins intensifs, HUG, Geneve.
Rev Med Suisse. 2009 Dec 9;5(229):2486, 2488-91.
Undernutrition is a widespread problem in the intensive care and is associated with a worse clinical outcome. Enteral nutrition is the recommended nutritional support in ICU patients. However, enteral nutrition is frequently insufficient to cover protein-energy needs. The initiation of supplemental parenteral nutrition, when enteral nutrition is insufficient, could optimize the nutritional therapy. Such a combination could allow reducing morbidity, length of stay and recovery, as well as improving quality of life and health care costs. Prospective studies are currently underway to test this hypothesis.
营养不良是重症监护中普遍存在的问题，且与更差的临床结局相关。肠内营养是重症监护病房患者推荐的营养支持方式。然而，肠内营养常常不足以满足蛋白质-能量需求。当肠内营养不足时，启动补充性肠外营养可优化营养治疗。这种联合方式可降低发病率、缩短住院时间并促进康复，还能改善生活质量并降低医疗成本。目前正在进行前瞻性研究以验证这一假设。
