胃肠外科病人围手术期全程营养管理中国专家共识(2021版)

2021-10-01 中华医学会外科学分会胃肠外科学组 中国实用外科杂志

胃肠外科病人营养不良发生率高,尤以老年、肿瘤、重症及病理性肥胖病人更为显著。

中文标题:

胃肠外科病人围手术期全程营养管理中国专家共识(2021版)

发布日期:

2021-10-01

简要介绍:

胃肠外科病人营养不良发生率高,尤以老年、肿瘤、重症及病理性肥胖病人更为显著。胃肠外科病人营养不良主要表现为营养不足、肌少症、恶病质、肥胖、肌肉脂肪浸润等形式,主要原因是原发疾病状况及治疗引起的营养物质摄入减少、胃肠功能不全、机体代谢变化和自身组织消耗。此外,手术创伤应激导致机体分解代谢增加、炎性反应、蛋白质分解代谢和氮丢失。研究结果显示,大手术病人机体的持续分解代谢可持续至术后数月甚至更长时间才能恢复正氮平衡,严重影响病人组织、器官生理功能恢复,增加术后并发症发生率及病死率,影响病人预后。 

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    2022-11-03 Serendipity lai

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    2022-03-21 120991e4m70(暂无昵称)

    学习了

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    2022-02-09 ms8000001368665579

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