Zhonghua Yi Xue Za Zhi. 2023 Apr 4;103(13):946-974. doi: 10.3760/cma.j.cn112137-20221116-02407.
Malnutrition refers to the state of energy or nutrient deficiency caused by insufficient intake or utilization, which is the main factor leading to adverse clinical outcomes. In order to further standardize the nutritional support treatment process, nearly 100 experts in related fields were organized by the Chinese Society of Parenteral and Enteral Nutrition (CSPEN) to elaborate on the following topics based on the existing evidence-based medical evidence: nutritional screening and assessment; diagnosis and monitoring of malnutrition; diagnosis and treatment process, energy targets and health economic benefits of nutritional support therapy; indication, starting time, infusion mode and formula selection of enteral nutrition (EN) and parenteral nutrition (PN); monitoring of tolerance of nutritional support treatment, prevention and management of complications, etc. Finally, 37 questions and 60 recommendations were put forward to provide reference for clinical standard application of parenteral and enteral nutrition.
营养不良是指由于摄入不足或利用不良引起的能量或营养缺乏状态，是导致不良临床结局的主要因素。为进一步规范营养支持治疗流程，中华医学会肠外肠内营养学分会（CSPEN）组织了近百位相关领域专家，基于现有的循证医学证据，对以下内容进行阐述：营养筛查与评估；营养不良的诊断与监测；营养支持治疗的诊断与治疗流程、能量目标及卫生经济效益；肠内营养（EN）和肠外营养（PN）的适应证、开始时间、输注方式及配方选择；营养支持治疗耐受性的监测、并发症的预防与处理等。最后提出37个问题及60条推荐意见，为肠外肠内营养临床规范应用提供参考。
