Department of General Intensive Care, Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva 49100, Israel.
Nutrients. 2020 Mar 8;12(3):717. doi: 10.3390/nu12030717.
Parenteral nutrition has evolved tremendously, with parenteral formulas now safer and more accessible than ever. "All-in-one" admixtures are now available, which simplify parenteral nutrition usage and decrease line infection rates alongside other methods of infectious control. Recently published data on the benefits of parenteral nutrition versus enteral nutrition together with the widespread use of indirect calorimetry solve many safety issues that have emerged over the years. All these advances, alongside a better understanding of glycemic control and lipid and protein formulation improvements, make parenteral nutrition a safe alternative to enteral nutrition.
肠外营养已经有了巨大的发展,肠外配方现在比以往任何时候都更安全、更容易获得。“一体化”混合液现在已经可以使用,这简化了肠外营养的使用,降低了管路感染率,同时也减少了其他感染控制方法的应用。最近发表的关于肠外营养与肠内营养的益处的数据,以及间接热量测定法的广泛应用,解决了多年来出现的许多安全问题。所有这些进展,加上对血糖控制和脂肪及蛋白质配方改进的更好理解,使得肠外营养成为肠内营养的一种安全替代方法。