长期/家庭亲肠营养:关于静脉输入脂类乳液的专家共识陈述
Manpreet S Mundi1, Robert G Martindale2, Philip C Calder3,4
1Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MN, United States.
Frontiers in nutrition
|December 24, 2025
概括
家庭亲肠道营养 (HPN) 使用静脉注射脂质乳液 (ILEs),但最佳选择仍然不清楚. 专家的共识声明涉及必需脂肪酸的输送,肝病的预防和HPN患者的临床证据,指导数据有限的实践.
科学领域:
- 临床营养学 临床营养学
- 父母肠道营养是一种营养.
- 胃肠病学 胃肠病学
背景情况:
- 家庭亲肠营养 (HPN) 对慢性肠衰竭 (CIF) 和息护理至关重要.
- 静脉脂肪乳液 (ILEs) 是PN的关键,但也引发了临床问题.
- 需要专家的共识来弥合证据和实践的差距在IE使用.
研究的目的:
- 提供专家关于在需要PN,特别是HPN的患者中使用ILE的共识陈述.
- 为了解决知识差距,并指导临床实践关于ILE选择和管理.
- 总结有关与HPN和长期PN使用相关的ILE的当前知识.
主要方法:
- 一个由国际专家组成的小组为PN峰会中的脂质召开了会议.
- 专家小组评估了在PN中关于ILEs的当前知识状态.
- 专家的共识陈述是基于广泛的研究和临床经验而制定的.
主要成果:
- 该审查总结了IE在HPN策略中选择ILE的理由.
- 它讨论了必需脂肪酸 (EFA) 输送和IF相关性肝病 (IFALD) 的预防.
- 复合ILEs与鱼油和omega-3PUFAs的潜在益处被审查.
结论:
- 专家建议对于HPN临床护理至关重要,尤其是在缺乏证据的情况下.
- 共识声明旨在指导HPN患者的日常临床实践.
- 审查强调了IE选择在HPN和长期PN战略中的重要性.
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