Zhejiang Medical Association Critical Care Medicine Branch
Corresponding author: Jiang Ronglin, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Jul;36(7):673-680. doi: 10.3760/cma.j.cn121430-20240123-00080.
Critical patients have a high incidence of malnutrition, which can lead to adverse outcomes such as infections and ICU-acquired weakness. Improving the nutritional status of critically ill patients is currently an important challenge. Parenteral nutrition (PN) is an important component of medical nutrition, but there is still much controversy over how to implement a reasonable and standardized PN for critically ill patients. To further standardize the PN strategy for critically ill patients, the Critical Care Medicine Branch of the Zhejiang Medical Association convened experts in the field of critical care medicine and formulated the Expert consensus on clinical practice of parenteral nutrition therapy for critically ill patients in China (2024). This consensus is based on the GRADE evidence quality grading standard, problem oriented, and summarizes evidence-based medicine evidence from multiple aspects such as PN timing, suitable population, nutritional plan, and ingredient ratio, providing professional suggestions for the standardization and implementation of PN in clinical nutrition practice.
重症患者营养不良发生率高，可导致感染和ICU获得性肌无力等不良后果。改善重症患者的营养状况是当前一项重要挑战。肠外营养（PN）是医学营养的重要组成部分，但对于如何为重症患者实施合理、规范的PN仍存在诸多争议。为进一步规范重症患者的PN策略，浙江省医学会重症医学分会召集重症医学领域专家，制定了《中国重症患者肠外营养治疗临床实践专家共识（2024版）》。本共识基于GRADE证据质量分级标准，以问题为导向，从PN时机、适用人群、营养方案、成分比例等多个方面总结循证医学证据，为临床营养实践中PN的规范化和实施提供专业建议。
