Department of Anesthesia and Intensive Care Medicine, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Division of Anesthesia and Intensive Care Medicine, CLINTEC, Karolinska Institutet, Stockholm, Sweden.
Crit Care. 2017 May 15;21(1):106. doi: 10.1186/s13054-017-1699-9.
The high fashion in nutrition for the critically ill is to recommend a high protein intake. Several opinion leaders are surfing on this wave, expanding the suggested protein allowance upwards. At the same time, there is no new evidence supporting this change in recommendations. Observational data show that in clinical practice protein intake is most often far below current ESPEN recommendations of 1.2-1.5 g/kg/day. Therefore, it may be in the best interests of our patients just to adhere to that guideline, and not to stretch them upwards for protein intake? Here we give arguments to stay conservative.
危重症患者营养的最新潮流是建议高蛋白摄入。一些权威人士正在跟风，将建议的蛋白质摄入量向上调整。但与此同时，并没有新的证据支持这一建议的改变。观察性数据表明，在临床实践中，蛋白质的摄入量通常远低于目前 ESPEN 建议的 1.2-1.5g/kg/天。因此，对于我们的患者来说，坚持该指南可能是最符合他们利益的，而不是为了提高蛋白质摄入量而向上拉伸？在这里，我们给出了保持保守的论据。
