Guidelines for Parenteral and Enteral Nutrition Support in Geriatric Patients in China

中国老年患者肠内肠外营养支持指南

Jun-Min Wei ； Wei Chen ； Ming-Wei Zhu ； Wei-Xin Cao ； Xin-Ying Wang ； Han-Ping Shi ； Bi-Rong Dong ； Jian-Qin Sun ； Huai-Hong Chen ； Ye-Ping Zhou ； Su-Ming Zhou ； Jing-Yong Xu

《Asia Pacific Journal of Clinical Nutrition》 24卷2期 (2015/06) Pp. 336-346

https://doi.org/10.6133/apjcn.2015.24.2.11

摘要

老年患者的疾病发病率及死亡率较年轻患者明显升高，特别是危重症老年患者。这与老年人机体储备功能差，抵抗应激能力下降以及合并有多种急慢性疾病有关。肠外与肠内营养支持可以有效的改善老年患者的疾病状态及临床结局，包括降低死亡率、减少住院时间和总体住院费用。因此，在中国亟需针对于老年患者的基于循证医学规范的营养筛查、评估及支持的指南性纲领。中华医学会肠外肠内营养学分会老年学组参考美国肠外肠内营养学会（ASPEN）和欧洲肠外肠内营养学会（ESPEN）发表的临床指南，结合中国的研究进展，制定了本指南。

關鍵字

指南 ； 肠外营养 ； 肠内营养 ； 营养支持 ； 老年患者

並列摘要

The mortality and morbidity of geriatric patients is much higher than for younger patients, especially when critically ill. This may be attributed to a lower reserve capacity in most organs and systems, reduced ability to deal with physical stress and the presence of acute or chronic co-mobidities. Parenteral and enteral nutrition support can improve the clinical condition of the elderly patient and result in better outcomes, such as lower mortality, reduced hospital stay and reduced medical costs. There is a need to standardize nutrition screening and assessment, and the implementation of appropriate evidence based nutritional support of geriatric patients in China. The Chinese Medical Association's Group of Geriatric Nutrition Support has developed guidelines by researching the present situation in Chinese hospitals and by referring to the guidelines from both American Society for Parenteral and Enteral Nutrition (ASPEN) and the European Society for Clinical Nutrition and Metabolism (ESPEN).

並列關鍵字

guidelines ； parenteral nutrition ； enteral nutrition ； nutrition support ； geriatric patients