重视外科病人营养问题

被引:35
作者
李宁
机构
[1] 南京军区南京总医院全军普通外科研究所南京大学医学院临床学院
关键词
营养治疗; 免疫营养; 加速康复外科;
D O I
暂无
中图分类号
R459.3 [饮食疗法、临床营养学];
学科分类号
摘要
术前营养不良是影响手术预后的重要原因。老年外科病人增多使得外科营养问题更为突出,但外科医师的临床营养知识和对外科营养的重视程度仍有待提高。在加速康复外科模式下,围手术期营养的观念和原则也有了很大改变。临床证据表明,围手术期应用某些特殊营养底物具有抗炎、免疫调控和器官保护作用,并改善外科病人的预后,即"免疫营养"。外科营养的地位已从"营养支持"向"营养治疗"转变。
引用
收藏
页码:101 / 103
页数:3
相关论文
共 9 条
[1]   重视重症病人代谢、免疫和器官功能的营养调理治疗 [J].
李宁 .
中国实用外科杂志, 2010, 30 (11) :909-911
[2]   临床营养角色的转变:从营养支持到营养治疗 [J].
朱维铭 .
肠外与肠内营养, 2009, 16 (01) :1-3
[3]   Prospective multicentre randomised controlled trial of early enteral nutrition for patients undergoing major upper gastrointestinal surgical resection [J].
Barlow, Rachael ;
Price, Patricia ;
Reid, Thomas D. ;
Hunt, Sarah ;
Clark, Geoffrey W. B. ;
Havard, Timothy J. ;
Puntis, Malcolm C. A. ;
Lewis, Wyn G. .
CLINICAL NUTRITION, 2011, 30 (05) :560-566
[4]   Early Postoperative Hyperglycemia Is Associated With Postoperative Complications After Pancreatoduodenectomy [J].
Eshuis, Wietse J. ;
Hermanides, Jeroen ;
van Dalen, Jan W. ;
van Samkar, Gan ;
Busch, Olivier R. C. ;
van Gulik, Thomas M. ;
DeVries, J. Hans ;
Hoekstra, Joost B. L. ;
Gouma, Dirk J. .
ANNALS OF SURGERY, 2011, 253 (04) :739-744
[5]  
Preoperative Hypoalbuminemia is an Independent Risk Factor for the Development of Surgical Site Infection Following Gastrointestinal Surgery: A Multi-Institutional Study[J] . Derek B. Hennessey,John P. Burke,Tara Ni-Dhonochu,Conor Shields,Desmond C. Winter,Kenneth Mealy.Annals of Surgery . 2010 (2)
[6]  
Nutrition therapy in the critical care setting: What is “best achievable” practice? An international multicenter observational study[J] . Naomi E. Cahill,Rupinder Dhaliwal,Andrew G. Day,Xuran Jiang,Daren K. Heyland.Critical Care Medicine . 2010 (2)
[7]   Relationship of Perioperative Hyperglycemia and Postoperative Infections in Patients Who Undergo General and Vascular Surgery [J].
Ramos, Margarita ;
Khalpey, Zain ;
Lipsitz, Stuart ;
Steinberg, Jill ;
Panizales, Maria Theresa ;
Zinner, Michael ;
Rogers, Selwyn O. .
ANNALS OF SURGERY, 2008, 248 (04) :585-590
[8]  
The Impact of Immunostimulating Nutrition on Infectious Complications After Upper Gastrointestinal Surgery: A Prospective, Randomized, Clinical Trial[J] . Stanislaw Klek,Jan Kulig,Marek Sierzega,Piotr Szybinski,Kinga Szczepanek,Aldona Kubisz,Tomasz Kowalczyk,Tomasz Gach,Radoslaw Pach,Antoni M. Szczepanik.Annals of Surgery . 2008 (2)
[9]   Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery [J].
Schiesser, Marc ;
Mueller, Sven ;
Kirchhoff, Philipp ;
Breitenstein, Stefan ;
Schaefer, Markus ;
Clavien, Pierre-Alain .
CLINICAL NUTRITION, 2008, 27 (04) :565-570