Zhonghua Yi Xue Za Zhi. 2024 Aug 27;104(33):3110-3122. doi: 10.3760/cma.j.cn112137-20240524-01181.
As essential nutrients for human beings, electrolytes play a central role in nutritional and metabolic support treatment. To further standardize the use of electrolyte preparations in parenteral nutrition, the China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch, Chinese Medical Doctor Association Nutritionist Professional Committee, Chinese Society of Parenteral and Enteral Nutrition, and Chinese Nutrition Society Branch of Clinical Nutrition, invited authoritative experts in the fields of critical medicine, emergency medicine, internal medicine, surgery, and pharmacology in China to create this expert consensus. This consensus was based on the latest guidelines and evidence-based medicine at home and abroad, and combined with the actual clinical medical environment in China. This consensus covered the following topics: electrolytes monitoring during parenteral nutrition, risk assessment and nutritional treatment of refeeding syndrome, electrolytes supplementation during parenteral nutrition for various diseases (including severe diseases, heart failure, post-surgical short bowel syndrome, perioperative period, trauma, diabetic foot, chronic kidney disease, liver disease, neonates), and the compatibility principles of electrolyte preparations in parenteral nutrition. Finally, 13 clinical questions and 26 recommendations were proposed aiming at providing scientific, standardized, and practical guidance for the rational application of electrolytes in parenteral nutrition.
作为人体必需的营养素，电解质在营养和代谢支持治疗中发挥着核心作用。为进一步规范肠外营养中电解质制剂的使用，中国国际医疗保健促进会临床营养健康分会、中国医师协会营养医师专业委员会、中华医学会肠外肠内营养学分会以及中国营养学会临床营养分会，邀请了我国重症医学、急诊医学、内科、外科及药理学领域的权威专家制定本专家共识。本共识基于国内外最新指南和循证医学，并结合我国实际临床医疗环境制定。本共识涵盖以下主题：肠外营养期间的电解质监测、再喂养综合征的风险评估与营养治疗、各种疾病（包括重症疾病、心力衰竭、术后短肠综合征、围手术期、创伤、糖尿病足、慢性肾脏病、肝脏疾病、新生儿）肠外营养期间的电解质补充，以及肠外营养中电解质制剂的配伍原则。最后，针对肠外营养中电解质的合理应用提出了13个临床问题和26条推荐意见，旨在提供科学、规范且实用的指导。
