老年外科患者围手术期营养支持中国专家共识(2024版)
Chinese expert consensus on perioperative nutritional support for elderly surgical patients(2024 edition)
中国研究型医院学会老年外科专业委员会 李非 于健春 杨尹默 蔡建强 楼文晖 董明 孙备
摘要
我国社会老龄化程度日益加重,接受外科手术的老年患者也随之增多.老年患者具有合并症多、营养风险高、衰弱、器官功能下降等特点,其中营养支持是老年外科患者围手术期的重要环节.目前,国内外尚缺少老年患者围手术期营养支持指南或共识,为推动该领域工作规范开展,基于现有研究证据,中国研究型医院学会老年外科专业委员会组织讨论并制订《老年外科患者围手术期营养支持中国专家共识(2024版)》,从术前营养评估,术前与术后营养支持治疗适应证、目标、成份与途径,营养并发症与管理,手术并发症的营养干预及营养随访等多方面提出共识,以期对老年外科患者进行规范的营养支持提供指导性意见.
Abstract
The increasing aging population in our country leads to the raise of the number of elderly patients undergoing surgical procedures.Elderly patients are characterized with conditions such as multiple comorbidities,high nutritional risk,frailty,decreased organ function.Nutritional support is an important part in the perioperative period of elderly surgical patients.Currently,there is a lack of guidelines or expert consensus on nutritional support both domestically and interna-tionally.To promote the development of work in this specific field,based on existing research evidence,the Geriatric Surgery Professional Committee of Chinese Research Hospital Association gathers experts to formulate the Chinese Expert Consensus On Perioperative Nutritional Support For Elderly Surgical Patients(2024 Edition).This consensus includes several parts:preoperative nutritional assessment,indications,goals,ingredients and approaches,nutritional complications and management of pre-operative and postoperative nutritional support therapy,nutritional intervention for surgical compli-cations,and nutritional follow-up.The consensus aims to provide valuable suggestions for standardi-zing nutritional support for elderly surgical patients.
关键词
老年外科/营养风险/营养不良诊断/营养支持/围手术期/专家共识Key words
Geriatric surgery/Nutritional risk/Malnutrition diagnosis/Nutritional support/Perioperative period/Expert consensus引用本文复制引用
出版年
2024
NETL
NSTL
万方数据