中国专家共识：成人补充性肠外营养

中华医学会肠外肠内营养学分会

  • 参与共识讨论及编写的专家：吴国豪、于健春、蔡威、韦军民、杨桦、王新颖、许媛、秦环龙、安友仲、曹伟新、王凤安、伍晓汀、田伟军，迟强、周岩冰、陈伟、朱明炜、周业平、胡俊波、王为忠、张有成、彭俊生、江志伟、吴健雄、董明、王烈、梁冰、宿英英、唐云、石汉平、彭南海、康维明、陈鄢津、谈善军

  • 执笔作者：吴国豪，谈善军

  • 通信作者：吴国豪（prowugh@163.com）

　　补充性肠外营养（SPN）是指肠内营养（EN）不足时，部分能量和蛋白质需求由肠外营养（PN）来补充的混合营养支持疗法方式【1】。合理的SPN能满足患者对能量和蛋白质的需求，调整氮平衡状态，促进蛋白质合成，能有效改善患者的营养状况，降低并发症发生率，改善患者的临床结局【2】。但目前有关SPN的给予时机、剂量以及途径等问题，国内外研究结果尚不统一，不同国家或学会对于SPN支持疗法的推荐意见也不尽相同【3-5】。因此，中华医学会肠外肠内营养学分会组织专家，根据目前国际上发表的临床研究结果及循证医学证据，结合专家经验，形成《成人补充性肠外营养中国专家共识》，为国内临床营养实践中SPN的规范化和标准化提供参考意见。

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原文参见：中华胃肠外科杂志. 2017;20(1):9-13.

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