外科理论与实践

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瑞金医院新型冠状病毒感染病人营养治疗建议(2023版)

施咏梅a, 蒋咏梅a, 罗茜a, 金倩雯a, 陈尔真b()   

  1. a.上海交通大学医学院附属瑞金医院 上海交通大学医学院附属瑞金医院 临床营养科, 上海 200025
    b.上海交通大学医学院附属瑞金医院 重症医学科,上海 200025
  • 收稿日期:2022-01-09 出版日期:2023-01-25 发布日期:2023-03-25
  • 通讯作者: 陈尔真 E-mail:chenerzhen@hotmail.com

Nutritional therapy recommendations for patients with coronavirus disease 2019 (COVID-19) in Ruijin Hospital (2023 edition)

SHI Yongmeia, JIANG Yongmeia, LUO Xia, JIN Qianwena, CHEN Erzhenb()   

  1. a. Departement of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    b. Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2022-01-09 Online:2023-01-25 Published:2023-03-25
  • Contact: CHEN Erzhen E-mail:chenerzhen@hotmail.com

摘要:

营养支持是新型冠状病毒感染病人,尤其是危重症病人救治的综合治疗措施之一。营养治疗遵循营养风险筛查→评估→干预→监测的规范流程,遵循“五阶梯”营养治疗原则。通过合理膳食、规范的营养支持能改善病人的营养状况,增强免疫功能,改善临床结局。

关键词: 新型冠状病毒, 新型冠状病毒感染, 营养治疗, 肠内营养, 肠外营养

Abstract:

Nutritional support is one of the comprehensive treatments for the patients with novel coronavirus infection, especially for critically ill patients. Nutritional therapy needs to follow the standard process, which includes nutritional risk screening, assessment, intervention and monitoring. Nutrition intervention is recommended to follow the principle of "five-step" of nutritional therapy. Appropriated diet and evidence-based nutritional support should be given to improve the nutritional status and immunologic function of the patients, and to get best of overall clinical outcomes.

Key words: Novel coronavirus, Novel coronavirus infection, Nutritional therapy, Enteral nutrition, Parenteral nutrition

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