Pasechnik I N, Rybintsev V Yu, Markelov K M
Central State Medical Academy of the President of the Russian Federation, Moscow, Russia.
Khirurgiia (Mosk). 2020(10):95-103. doi: 10.17116/hirurgia202010195.
The article presents an algorithm for perioperative nutritional support of surgical patients operated on as planned. Today, planned surgical care is provided in accordance with the canons of the accelerated rehabilitation Program (ARP). The relevance of the problem of nutritional insufficiency, which is an important component of ARP, is due to the dependence of the results of surgical treatment on the initial nutritional status of the patient. Methods of screening for nutritional deficiency and options for correcting protein-energy disorders are described. The predominant method is the enteral delivery of nutrients and energy. Oral supplemental nutrition by sipping is a convenient way to correct nutritional disorders at all stages of the perioperative period.
本文介绍了一种针对按计划进行手术的外科患者围手术期营养支持的算法。如今，计划手术治疗是按照加速康复计划（ARP）的规范进行的。营养不足问题作为ARP的一个重要组成部分，其相关性源于手术治疗结果取决于患者的初始营养状况。文中描述了营养缺乏的筛查方法以及纠正蛋白质 - 能量紊乱的方案。主要方法是肠内营养和能量输送。小口啜饮口服补充营养是在围手术期各阶段纠正营养紊乱的便捷方式。
