Cristaudi A, Cerantola Y, Grass F, Demartines N, Hubner M, Schaefer M
Service de chirurgie viscérale, Département de chirurgie, CHUV, Lausanne.
Rev Med Suisse. 2011 Jun 22;7(300):1358-61.
Malnutrition concerns up to 50% at in-hospital admission. Its diagnosis and treatment are fundamental parts of the surgical approach because nutritional status directly influences the clinical outcome. The Nutritional Risk Score (NRS-2002) represents the recommended screening tool by the European Society of Parenteral and Enteral Nutrition (ESPEN). Patients with a score > or = 3 and aged > 70 years old, should receive a nutritional support during 7-14 day before surgery. Depending on patient's clinical conditions, the enteral route of administration should be preferred. Despite strong evidence in favor of nutritional supplementation, much effort must be done to implement these supportive strategies in the everyday clinical practice.
入院时高达50%的患者存在营养不良问题。其诊断和治疗是手术方法的基本组成部分，因为营养状况直接影响临床结局。营养风险评分（NRS - 2002）是欧洲肠外肠内营养学会（ESPEN）推荐的筛查工具。评分≥3分且年龄>70岁的患者，应在手术前7 - 14天接受营养支持。根据患者的临床情况，应优先选择肠内给药途径。尽管有强有力的证据支持营养补充，但在日常临床实践中实施这些支持性策略仍需付出很多努力。
