外科危重患者肠内营养支持治疗进展

摘要

Enteral nutrition can decrease postoperative complications, stress reaction, shorten length of hospital stay and improve patients′outcome. enteral nutrition′s superiority,indication,timing and route selec-tion were reviewed in order to provide scientific basis for effective nutrition treatment among surgical critically patients. As malnutrition Seriously affected rehabilitation of surgicalcritically ill patients So the nutrition ther-apy as an important means of treatment received wide attention and concern. With the development of tech-nology,enteral nutrition has become the primary method of the nutrition support for the surgical critical pa-tients. For the superiority of enteral nutrition awareness , indications, timing and other views have to grasp a breakthrough. However, the domestic application of knowledge of enteral nutrition is still insufficient,In the surgical treatment of critically ill patients, parenteral nutrition rather than enteral nutrition is the main strate-gy of nutrition therapy.%营养不良由于严重影响外科危重症患者康复，所以营养治疗被作为一项重要的治疗手段得到广泛的重视和关注。随着科技的发展，肠内营养逐渐代替肠外营养成为外科营养支持的首要途径。近年来，对于肠内营养优越性的认识、适应证、时机把握等观点都有了突破性的进展。尤其在危重患者的救治中日益发挥了重要的治疗作用。然而，国内对肠内营养应用认识尚不够充分，在外科危重患者的救治中，肠外营养而非肠内营养是营养治疗的主要策略。