优化临床营养实践:基于配方药的营养治疗方案对手术患者的影响
1Department of Pharmacy, The Fourth Affiliated Hospital of Soochow University, Suzhou Dushu Lake Hospital, Medical Center of Soochow University, Suzhou, Jiangsu, China.
Frontiers in nutrition
|February 6, 2026
概括
一个新的配方药处方协议改善了手术患者的肠道营养 (PN) 使用. 这增强了营养治疗和患者的结果,特别是在胃肠癌手术中.
科学领域:
- 临床营养学 临床营养学
- 手术营养是指手术营养.
- 医疗信息学 医疗信息学
背景情况:
- 亲肠道营养 (PN) 对手术患者至关重要,但由于复杂的配方,经常被不适当地使用.
- 这项研究解决了临床实践中低于最佳PN使用的广泛问题.
研究的目的:
- 建立和评估一种基于配方处方的营养治疗方案.
- 评估该协议对PN管理和手术患者的临床结果的影响.
主要方法:
- 开发了一个基于配方处方的营养治疗计划和外科手术期间的营养途径.
- 进行了全医院PN模式和针对性外科部门的前后队列分析.
- 追溯分析了经过腹部手术的胃肠道 (GI) 癌症患者,评估营养状况,恢复时间和并发症.
主要成果:
- 增加了全合一 (AIO) 添加剂 (47.2%至85.2%) 和个性化全营养添加剂 (TNA) (54.5%至79.3%) 的使用.
- 从全腹腔营养 (TPN) 转变为补充腹腔营养 (SPN) 和全腹腔营养 (TEN).
- 改善了胃肠道癌症患者的术后结果,包括高高的前白蛋白水平,更短的PN持续时间和减少住院时间.
结论:
- 基于配方处方的协议增强了合理的PN药物使用,并优化了营养策略.
- 该协议可以改善手术患者的短期临床结果,特别是那些患有肠道癌症的患者.
- 该协议的实施意味着手术患者的临床营养管理取得了重大进展.
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