摘要
电解质作为人体必需的营养素,在营养及代谢支持治疗中占据核心地位。为进一步规范肠外营养中电解质制剂的使用,中国医疗保健国际交流促进会临床营养健康学分会、中国医师协会营养医师专业委员会、中华医学会肠外肠内营养学分会以及中国营养学会临床营养分会,特邀国内重症医学、急诊医学、内科、外科及药学领域的权威专家,依据国内外最新指南、循证医学证据,并结合我国实际临床医疗环境,共同编纂该共识。本共识围绕以下主题进行阐述:肠外营养期间电解质监测、再喂养综合征的风险评估及营养治疗、各类疾病(包括重症、心力衰竭、术后短肠综合征、围手术期、创伤、糖尿病足、肾脏病、肝病、新生儿)肠外营养期间的电解质补充及肠外营养中电解质制剂的配伍原则,最终提出13个问题、26条推荐意见,旨在为肠外营养中电解质的合理应用提供科学、规范、实用的指导。
As essential nutrients for human beings,electrolytes play a central role in nutritional and metabolic support treatment.To further standardize the use of electrolyte preparations in parenteral nutrition,the China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch,Chinese Medical Doctor Association Nutritionist Professional Committee,Chinese Society of Parenteral and Enteral Nutrition,and Chinese Nutrition Society Branch of Clinical Nutrition,invited authoritative experts in the fields of critical medicine,emergency medicine,internal medicine,surgery,and pharmacology in China to create this expert consensus.This consensus was based on the latest guidelines and evidence-based medicine at home and abroad,and combined with the actual clinical medical environment in China.This consensus covered the following topics:electrolytes monitoring during parenteral nutrition,risk assessment and nutritional treatment of refeeding syndrome,electrolytes supplementation during parenteral nutrition for various diseases(including severe diseases,heart failure,post-surgical short bowel syndrome,perioperative period,trauma,diabetic foot,chronic kidney disease,liver disease,neonates),and the compatibility principles of electrolyte preparations in parenteral nutrition.Finally,13 clinical questions and 26 recommendations were proposed aiming at providing scientific,standardized,and practical guidance for the rational application of electrolytes in parenteral nutrition.
作者
中国医疗保健国际交流促进会临床营养健康学分会
中华医学会肠外肠内营养学分会
中国营养学会临床营养分会
中国医师协会营养医师专业委员会
陈伟
江华
杨桦
陈超刚
陈莲珍
丛明华
樊跃平
康维明
郎韧
李元新
李在玲
梁斌
沈威
宋维亮
孙文彦
唐小丽
肖卫东
杨勤兵
尤丕聪
张常华
赵彬
周华
朱明炜
China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch;Chinese Society of Parenteral and Enteral Nutrition;Chinese Nutrition Society Branch of Clinical Nutrition;Chinese Medical Doctor Association Nutritionist Professional Committee;Chen Wei;Jiang Hua;Yang Hua(不详;Department of Clinical Nutrition,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China;Institute for Emergency and Disaster Medicine,Sichuan Provincial People′s Hospital,University of Electronic Science and Technology of China,Chengdu 610072,China;Department of General Surgery,Chongqing General Hospital,Chongqing 400037,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2024年第33期3110-3122,共13页
National Medical Journal of China
基金
国家自然科学基金(72074222)
中央高水平医院临床科研业务费(2022-PUMCH-B-054)
四川省重点研发计划(2021YFS0378)
关键词
电解质
胃肠外营养
营养支持
成人
新生儿
共识
Electrolytes
Parenteral nutrition
Nutritional support
Adult
Infant
Consensus
