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何时需要肠内营养?

When is enteral nutrition indicated?

机构信息

University of Missouri - Columbia, Columbia, Missouri, USA.

The Johns Hopkins Hospital, Baltimore, Maryland, USA.

出版信息

JPEN J Parenter Enteral Nutr. 2022 Sep;46(7):1470-1496. doi: 10.1002/jpen.2364. Epub 2022 Jul 15.

Abstract

Enteral nutrition (EN) is a vital component of nutrition around the world. EN allows for delivery of nutrients to those who cannot maintain adequate nutrition by oral intake alone. Common questions regarding EN are when to initiate and in what scenarios it is safe. The answers to these questions are often complex and require an evidence-based approach. The Board of Directors of the American Society for Parenteral and Enteral Nutrition (ASPEN) established an Enteral Nutrition Committtee to address the important questions surrounding the indications for EN. Consensus recommendations were established based on eight extremely clinically relevant questions regarding EN indications as deemed by the Enteral Nutrition Committee. These consensus recommendations may act as a guide for clinicians and stakeholders on difficult questions pertaining to indications for EN. This paper was approved by the ASPEN Board of Directors.

摘要

肠内营养(EN)是全球营养的重要组成部分。EN 可将营养物质输送给那些仅通过口服摄入无法维持足够营养的人。关于 EN 的常见问题是何时开始以及在何种情况下安全。这些问题的答案往往很复杂,需要循证方法。美国肠外和肠内营养学会(ASPEN)的董事会成立了肠内营养委员会,以解决围绕 EN 适应症的重要问题。根据肠内营养委员会认为与 EN 适应症相关的八个极其具有临床意义的问题,制定了共识建议。这些共识建议可以作为临床医生和利益相关者在有关 EN 适应症的困难问题上的指南。本文已获得 ASPEN 董事会的批准。

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