协和医学杂志

2018, v.9(06) 490-495

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积极评估与干预:胃肠加速康复外科指南中的营养问题
Active Assessment and Intervention: Issues of Clinical Nutrition in Guidelines for Enhanced Recovery after Gastrointestinal Surgery

于健春;薛志刚;
YU Jian-chun;XUE Zhi-gang;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

加速康复外科(enhanced recovery after surgery,ERAS)在胃肠外科领域开展已有20余年,尤其在结直肠外科中应用较为广泛。胃肠外科领域已有多部ERAS指南发表,近年来国内外对胃肠外科ERAS指南又作了多次修订与更新,有助于进一步规范围手术期胃肠外科管理。临床营养是ERAS中必不可少的重要组成部分,包括术前营养评估、口服营养补充预康复、术后早期肠内营养等内容,在指南更新中得到越来越多的关注与重视,本文就国内外最新更新的ERAS指南中的临床营养部分进行重点解读。
Enhanced recovery after surgery( ERAS) has been launched and implemented in gastrointestinal( GI) surgery for more than 20 years,especially in colorectal surgery. And several ERAS guidelines for GI surgery have been published. Recently,the ERAS guidelines for improving the standardization of perioperative management of GI surgery have been revised and updated several times in China and abroad. Clinical nutrition,which includes preoperative nutritional risk assessment,pre-rehabilitation such as oral nutritional supplement,and early postoperative enteral nutrition,is an indispensable and important component of ERAS and has been paid more attention. Here we mainly summarized the clinical nutrition part of the updated ERAS guides in GI surgery.

关键词(KeyWords): 加速康复外科;营养风险;指南解读;早期肠内营养;预康复
enhanced recovery after surgery;nutrition risk;guideline interpretation;early enteral nutrition;pre-habilitation

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基金项目(Foundation): 国家卫生计生委公益性行业科研专项基金(201502022);; 北京市科技计划项目(D141100000414002)

作者(Author): 于健春;薛志刚;
YU Jian-chun;XUE Zhi-gang;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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