术前营养与择期手术患者：为何、如何及用什么？

Pre-operative nutrition and the elective surgical patient: why, how and what?

机构信息

Peri-Operative Program, McGill University, Montreal, QC, Canada.

Director of Peri-operative Research, Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.

出版信息

Anaesthesia. 2019 Jan;74 Suppl 1:27-35. doi: 10.1111/anae.14506.

DOI:10.1111/anae.14506

PMID:30604414

Abstract

Pre-operative nutrition therapy is increasingly recognised as an essential component of surgical care. The present review has been formatted using Simon Sinek's Golden Circle approach to explain 'why' avoiding pre-operative malnutrition and supporting protein anabolism are important goals for the elective surgical patient, 'how' peri-operative malnutrition develops leading in part to a requirement for pre-operative anabolic preparation, and 'what' can be done to avoid pre-operative malnutrition and support anabolism for optimal recovery.

摘要

术前营养治疗越来越被认为是外科治疗的一个重要组成部分。本综述采用西蒙·西涅克（Simon Sinek）的黄金圈方法进行组织，以解释“为什么”避免术前营养不良和支持蛋白质合成代谢是择期手术患者的重要目标，“如何”围手术期营养不良发展导致部分需要进行术前合成代谢准备，以及“如何”避免术前营养不良并支持合成代谢以实现最佳恢复。