Zhonghua Wai Ke Za Zhi. 2024 Jul 1;62(7):624-636. doi: 10.3760/cma.j.cn112139-20240326-00145.
The increasing aging population in China leads to an increase in the number of elderly patients undergoing surgical procedures. Elderly patients are characterized with conditions such as multiple comorbidities, high nutritional risk, frailty, decreased organ function, etc. Nutritional support is one of the most significant elements in the perioperative period of elderly surgical patients. Currently, there is a lack of guidelines or expert consensus on nutritional support. To promote the standardized development of clinical work in this field, the Geriatric Surgery Professional Committee of the Chinese Research Hospital Association gathered experts and formulated relevant recommendations for perioperative nutritional therapy for elderly surgical patients based on existing research evidence. This consensus included several parts: preoperative nutritional assessment, indications, goals, ingredients and approaches of perioperative nutritional support, nutritional complications and management, nutritional intervention for surgical complications, and nutritional follow-up. It is expected to provide valuable suggestions for standardizing nutritional support for elderly surgical patients.
中国人口老龄化加剧，接受外科手术的老年患者数量增加。老年患者具有多种合并症、高营养风险、身体虚弱、器官功能下降等特点。营养支持是老年外科患者围手术期最重要的因素之一。目前，在营养支持方面缺乏指南或专家共识。为推动该领域临床工作的规范化发展，中国研究型医院学会老年外科专业委员会召集专家，基于现有研究证据，制定了老年外科患者围手术期营养治疗的相关建议。该共识包括术前营养评估、适应证、目标、围手术期营养支持的成分和方法、营养并发症及管理、手术并发症的营养干预以及营养随访等几个部分。期望能为规范老年外科患者的营养支持提供有价值的建议。
