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中华重症医学电子杂志 doi: 10.3877/cma.j.issn.2096-1537.2023.11.002

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重视监测,加强评估,推进精准营养治疗
许媛, 马晓春, 邱海波()   
  1. 102218 北京,清华大学附属北京清华长庚医院重症医学科
    110001 沈阳,中国医科大学附属第一医院重症医学科
    210009 南京,江苏省重症医学重点实验室 东南大学附属中大医院重症医学科
  • 收稿日期:2023-10-23
  • 通信作者: 邱海波

Yuan Xu, Xiaochun Ma, Haibo Qiu()   

  • Received:2023-10-23
  • Corresponding author: Haibo Qiu
引用本文:

许媛, 马晓春, 邱海波. 重视监测,加强评估,推进精准营养治疗[J]. 中华重症医学电子杂志, doi: 10.3877/cma.j.issn.2096-1537.2023.11.002.

Yuan Xu, Xiaochun Ma, Haibo Qiu. [J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), doi: 10.3877/cma.j.issn.2096-1537.2023.11.002.

任何有效、安全的治疗都应以危重症患者为导向,营养治疗亦是如此,不论目标设定还是全过程实施,均应基于患者具体病情,并动态评估。识别短时期内机体对营养供给的反应,评价近远期治疗效果,预防营养治疗相关的伤害与并发症,这均是日常营养监测的作用与重点。为此,中华医学会重症医学分会组织编写《中国成人ICU患者营养评估与监测临床实践指南》,依据人群、干预、对照和结局(Population,Intervention,Comparison,Outcome,PICO)的标准,对重症营养治疗涉及的评估与监测方面的研究进行分析,并从4个方面进行阐述:ICU患者的营养评定与风险筛查,监测营养治疗相关的代谢状态,营养素补充的合理性、有效性以及可能不良影响,以及监测与评估营养供给直接相关的器官功能与耐受性等。该指南编写目的在于推进可行性与可用性的营养代谢监测指标,辅助临床重症营养治疗决策及实施方案制定,最终实现监测指导下的个体化营养治疗目的。

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