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术后营养管理:谁需要什么?
1Department for General, Visceral and Oncological Surgery, St. George Hospital, Leipzig, Germany.
Visceral medicine
|November 16, 2023
概括
在腹部手术后,早期口服养是安全的,但往往不足. 营养支持至关重要,特别是对于高危患者,以预防并发症并确保康复.
科学领域:
- 手术营养是指手术营养.
- 增强手术后康复手术协议后的康复
- 术后护理 术后护理
背景情况:
- 早期口服养是腹部手术后安全的,也是手术后增强恢复 (ERAS) 协议的一部分.
- 单独通过口服摄入可能无法满足手术后蛋白质和能量需求的增加.
- 术前营养不良评估至关重要,因为它会影响手术的结果.
研究的目的:
- 突出需要一个"B计划"的术后营养.
- 强调肠道营养补充的重要性.
- 为了应对手术后满足热量需求的挑战.
主要方法:
- 审查当前的营养管理指南.
- 考虑欧洲临床营养与新陈代谢学会的建议.
- 对接受重大腹部手术的患者营养挑战的分析.
主要成果:
- 单独口服养往往不足以满足术后的营养需求.
- 肠道营养是补充剂的首选途径.
- 在上部胃肠切除后,体重减轻很常见,这会影响治疗的开始.
结论:
- 营养治疗的积极主动的"B计划"是必不可少的.
- 肠道和肠道补充剂是为了实现热量目标而被指示的.
- 适当的营养对于预防并发症和改善长期结果至关重要.
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