重视医院获得性营养不良的预防和治疗
Focus on the prevention and management of hospital-aquired malnutrition
吴国豪1
作者信息
- 1. 复旦大学附属中山医院普通外科 胃肠外科上海市临床营养研究中心,上海 200032
- 折叠
摘要
随着营养科学的发展,入院时已存在的营养不良患者逐渐受到关注,但是患者住院期间的营养恶化,特别是住院前没有营养不良而住院期间被诊断为营养不良,即医院获得性营养不良(HAM)常被忽视.诸多因素均可引发HAM,影响患者的治疗决策和效果(增加并发症、延长住院时间、降低生命质量),导致诸多不利的临床结局.临床医师应进一步加强全程营养管理的理念普及和技术推广,及时对住院患者进行动态营养筛查和评估,科学规范地施行营养治疗,有效预防和治疗HAM,改善患者临床结局.
Abstract
The increasing recognition of nutritional science has led to a growing focus on hospitalized patients with pre-existing malnutrition.However,the issue of nutrition deterioration during hospitalization,particularly hospital-acquired malnutrition(HAM)in patients who were not malnourished prior to admission,remains frequently overlooked.Numerous factors contribute to HAM in hospitalized patients,adversely influencing treatment decisions and outcomes,elevating the risk of complications,extending hospital stays,and diminishing quality of life,ultimately resulting in a spectrum of unfavorable clinical outcomes.The promotion of comprehensive nutritional manage-ment and the advancement of nutritional technology are essential for the timely identification and assessment of the nutritional status of hospitalized patients.This approach facilitates the implemen-tation of nutritional therapy in a systematic and evidence-based manner,thereby effectively preven-ting HAM and improving the patient's clinical outcomes.
关键词
营养不良/医院获得性/全程营养管理/智能化管理/多模态治疗Key words
Malnutrition/Hospital-aquired/Whole-course nutritional management/Intel-ligent management/Multimodal therapy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据