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2020 ESPEN专家组建议：围术期营养

2020-04-18 欧洲临床营养和代谢学会 Clin Nutr. 2020 Apr 18.

围术期营养

2020年4月,ESPEN发布了题为“围手术期营养:ESPEN专家组建议”的临床营养指导文献。营养不良被认为是术后不良结果的主要危险因素。2018年10月14日至15日，ESP

中文标题：

2020 ESPEN专家组建议：围术期营养

英文标题：

Perioperative nutrition: Recommendations from the ESPEN expert group

发布机构：

欧洲临床营养和代谢学会

发布日期：

2020-04-18

简要介绍：

2020年4月,ESPEN发布了题为“围手术期营养:ESPEN专家组建议”的临床营养指导文献。营养不良被认为是术后不良结果的主要危险因素。2018年10月14日至15日，ESPEN围手术期营养研讨会在英国诺丁汉举行。本文件旨在强调外科患者营养和代谢管理的科学依据。基于现有证据，这篇论文代表了在这个多学科领域的专家、病人和医疗护理提供者的意见。它突出了最新的认知。手术患者可表现为不同程度的营养不良、骨骼肌减少、恶病质、肥胖和肌肉脂肪浸润（myosteatosis）。围手术期液体治疗的目标应是尽可能使患者保持接近零的液体和电解质平衡。同样，血糖控制对于那些控制不佳的糖尿病患者尤为重要，随着糖化血红蛋白的升高，感染性并发症的风险和死亡率逐步增加。 卧床可导致基础能量消耗下降，胰岛素敏感性降低，对蛋白质营养和肌肉力量的合成抵抗，所有这些都会损害临床结局。药物营养（pharmaconutrition）、益生元、益生菌和合生元有一定作用，在接受胃肠道癌症手术的患者中证据更充分。

 

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    2022-06-22 146d2235m25暂无昵称

    更新营养知识

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1227960, encodeId=99a4122e96004, content=更新营养知识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=41d45169144, createdName=146d2235m25暂无昵称, createdTime=Wed Jun 22 11:08:53 CST 2022, time=2022-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1007188, encodeId=929d100e18888, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=856f1747263, createdName=小包T, createdTime=Thu Aug 12 08:52:16 CST 2021, time=2021-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975077, encodeId=76109e507783, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210616/26c60065690a4eada09776ed9b53d43b/ec7427f5d79a41859d7848b028fc50a0.jpg, createdBy=ae3d5526247, createdName=xuenvhai, createdTime=Sun Jun 20 11:15:19 CST 2021, time=2021-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974638, encodeId=eff19e463897, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fe062443591, createdName=123ddabdm87暂无昵称, createdTime=Fri Jun 18 12:27:08 CST 2021, time=2021-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968059, encodeId=86be968059bd, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7e525506660, createdName=小桥流水夏, createdTime=Mon May 24 05:02:22 CST 2021, time=2021-05-24, status=1, ipAttribution=)]
    2021-08-12 小包T

    好

    0

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    2021-06-20 xuenvhai

    好

    0

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    2021-06-18 123ddabdm87暂无昵称

    积分不足

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1227960, encodeId=99a4122e96004, content=更新营养知识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=41d45169144, createdName=146d2235m25暂无昵称, createdTime=Wed Jun 22 11:08:53 CST 2022, time=2022-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1007188, encodeId=929d100e18888, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=856f1747263, createdName=小包T, createdTime=Thu Aug 12 08:52:16 CST 2021, time=2021-08-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975077, encodeId=76109e507783, content=好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210616/26c60065690a4eada09776ed9b53d43b/ec7427f5d79a41859d7848b028fc50a0.jpg, createdBy=ae3d5526247, createdName=xuenvhai, createdTime=Sun Jun 20 11:15:19 CST 2021, time=2021-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974638, encodeId=eff19e463897, content=积分不足, beContent=null, objectType=guider, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fe062443591, createdName=123ddabdm87暂无昵称, createdTime=Fri Jun 18 12:27:08 CST 2021, time=2021-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968059, encodeId=86be968059bd, content=实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7e525506660, createdName=小桥流水夏, createdTime=Mon May 24 05:02:22 CST 2021, time=2021-05-24, status=1, ipAttribution=)]
    2021-05-24 小桥流水夏

    实用

    0

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