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营养支持治疗在胃肠手术加速康复外科中的应用 被引量:22

Role of nutrition support in the enhanced recovery after surgery for gastrointestinal surgery patients
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摘要 营养支持治疗能够改善患者一般情况,是保证手术成功的主要条件之一。加速康复外科(enhanced recovery after surgery,ERAS)通过减轻胃肠手术术后患者应激反应,来缩短术后康复进程。临床营养支持治疗在ERAS中的应用包括手术前进行营养风险评估,对营养不良者进行术前营养治疗;手术当天禁食固体食物和透明液体的时间分别缩短至麻醉诱导前6 h和2 h;术后早期恢复经口进食可以改善患者的临床结局。ERAS的应用使临床营养理念得以拓展和提升,深化了营养支持治疗的作用,有利于患者的康复。 Nutrition support therapy can improve the general condition of the patient and is one of the main factors to ensure the success of the operation. Enhanced recovery after surgery (ERAS) improves the recovery following gastrointestinal surgery by reducing postoperative stress response includes The application of nutrition support in ERAS nutrition risk assessment before preoperative nutrition treatment for malnutrition surgery and The time to fasting and clear liquid was shortened to 6 h and 2 h before anesthesia induction. Early postoperative recovery of oral feeding can improve the patient's clinical outcome. The application of ERAS enables the development and improvement of clinical nutrition concepts, and deepens the role of nutrition support therapy, which is conducive to the recovery of patients.
出处 《中华胃肠外科杂志》 CAS CSCD 北大核心 2017年第11期1243-1245,共3页 Chinese Journal of Gastrointestinal Surgery
基金 中山大学5010计划项目(Z0513001) 天河区科技计划(Z20140127201608077)
关键词 营养支持治疗 胃肠手术 加速康复外科 Nutrition support therapy Gastrointestinal surgery Enhanced recovery after surgery
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