摘要
复杂性腹腔感染（CIAI）是腹部外科比较常见但处理比较棘手的临床问题。由于CIAI患者常合并胃肠功能障碍，营养支持治疗在其长期治疗过程中起着重要作用。早期肠内营养有助于维持肠黏膜屏障功能．防止细菌易位，调节免疫功能。肠内与肠外营养联合使用可改善负氮平衡，维护机体生理功能。临床工作中理解CIAI的病理生理学变化，选择合适的营养支持途径和方法，可降低并发症发生率，改善患者预后。
Complicated intra-abdominal infections （clAIs） are common clinical conditions but difficult to manage in abdominal surgical practice. Since usually combined with gas- trointestinal dysfunction, nutritional support therapy plays a key role in the long-term treatment. Early enteral nutrition could maintain intestinal barrier function, regulate immune function, and reduce gut permeability and bacterial translocation. Enteral combined with supplement parenteral nutrition could provide lull-energy support to improve negative nitrogen balance and physiological function. Underlying pathophysiological changes should be understood, and appropriate mode of nutritional support should be chose carefully during disease course which can re- duce incidence of complications and improve patients＇ prognoses.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2017年第12期1180-1182,共3页
Chinese Journal of Digestive Surgery
基金
国家自然科学基金面上项目（81272623）
湖北省自然科学基金面上项目（2012FKB02440）
关键词
复杂性腹腔感染
营养支持治疗
肠内营养
肠外营养
Complicated intra-abdominal infections
Nutritional support therapy
Enteralnutrition
Parenteral nutrition
