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[多微量元素临床应用专家共识]

[The expert consensus on clinical application of multi-trace elements].

出版信息

Zhonghua Wai Ke Za Zhi. 2018 Mar 1;56(3):168-175. doi: 10.3760/cma.j.issn.0529-5815.2018.03.002.

Abstract

Trace elements are dietary elements which are needed in very minute quantities for the proper growth, development, and physiology of the organism, which play a crucial part in energy metabolism and material transformation. It's generally agreed that trace elements are essential components of parenteral nutrition. These societies for parenteral and enteral nutrition in Europe, the United States and Australia proposed that various trace elements should be provided daily from commencement for all patients receiving parenteral nutrition and published some guidelines on adult trace elements recommendations for parenteral nutrition. This consensus is commissioned by the Chinese Society for Parenteral and Enteral Nutrition, based on the principles of evidence-based medicine. This consensus summarizes the latest available evidence and refers to some recommendations in guidelines both at home and abroad. The detailed evidence-based recommendations include the recommended dose for trace elements supplement of parenteral nutrition by international societies, severe traumatic and perioperative patients, critically ill patients and major burns, cancer patients, liver disease patients, pediatric patients and other parts. The goal is to provide guidance and advice about the supplement of trace elements for patients receiving parenteral nutrition.

摘要

微量元素是生物体正常生长、发育和生理功能所需的极少量膳食元素,在能量代谢和物质转化中起关键作用。人们普遍认为微量元素是肠外营养的必需成分。欧洲、美国和澳大利亚的这些肠外和肠内营养学会建议,从开始就应为所有接受肠外营养的患者每日提供各种微量元素,并发布了一些关于成人肠外营养微量元素推荐的指南。本共识由中国肠外肠内营养学会委托制定,基于循证医学原则。本共识总结了现有最新证据,并参考了国内外指南中的一些建议。详细的循证推荐包括国际学会、严重创伤和围手术期患者、危重症患者和大面积烧伤患者、癌症患者、肝病患者、儿科患者等人群肠外营养微量元素补充的推荐剂量。目的是为接受肠外营养的患者提供微量元素补充方面的指导和建议。

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