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中国围手术期患者的营养支持:ERAS 的进展。

Nutritional support for perioperative patients in China: progress with ERAS.

机构信息

Department of Nutrition, the First Hospital of Hebei Medical University, Hebei, China.

Hebei Key Laboratory of Nutrition and Health, Hebei, China.

出版信息

Asia Pac J Clin Nutr. 2023;32(1):1-7. doi: 10.6133/apjcn.202303_32(1).0001.

Abstract

The prevalence of malnutrition in surgical patients is high, particularly in elderly, oncologic, critically ill and morbidly obese patients. In recent years, as the concept of enhanced recovery after surgery (ERAS) has gained in popularity, the concept and strategy of nutritional care for surgical patients has also evolved. The concept of nutritional management is relatively new in surgical patient management, which promotes integrating the "nutritional screening-assessment-diagnosis-treatment" (NSADT) scheme into the preoperative, intraoperative, postoperative, and post-discharge processes of disease treatment and rehabilitation. This article will review the practice of perioperative nutrition management in surgical patients in China.

摘要

手术患者的营养不良发生率较高,尤其是老年、肿瘤、重症和病态肥胖患者。近年来,随着加速康复外科(ERAS)理念的普及,手术患者的营养照护理念和策略也在不断发展。营养管理的理念在手术患者管理中相对较新,提倡将“营养筛查-评估-诊断-治疗”(NSADT)方案整合到疾病治疗和康复的术前、术中和术后以及出院后过程中。本文将回顾中国外科患者围手术期营养管理的实践。

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