中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2015年
2期
86-89
,共4页
营养支持,肠内%危重症
營養支持,腸內%危重癥
영양지지,장내%위중증
Nutritino,enternal%Critical illness
ICU患儿多处于严重应激状态,体内代谢变化异常复杂。肠内营养及早期肠内营养在维持营养代谢的同时,又维护、支持了肠黏膜屏障与消化功能,改善组织灌注,调节机体免疫,明显降低感染性疾病与多器官功能障碍综合征的发病率,减少感染并发症的发生,从而改善预后,因而有广阔的临床应用前景。本文对早期肠内营养进行综述,以期更好地为危重症患者的营养支持提供参考。
ICU患兒多處于嚴重應激狀態,體內代謝變化異常複雜。腸內營養及早期腸內營養在維持營養代謝的同時,又維護、支持瞭腸黏膜屏障與消化功能,改善組織灌註,調節機體免疫,明顯降低感染性疾病與多器官功能障礙綜閤徵的髮病率,減少感染併髮癥的髮生,從而改善預後,因而有廣闊的臨床應用前景。本文對早期腸內營養進行綜述,以期更好地為危重癥患者的營養支持提供參攷。
ICU환인다처우엄중응격상태,체내대사변화이상복잡。장내영양급조기장내영양재유지영양대사적동시,우유호、지지료장점막병장여소화공능,개선조직관주,조절궤체면역,명현강저감염성질병여다기관공능장애종합정적발병솔,감소감염병발증적발생,종이개선예후,인이유엄활적림상응용전경。본문대조기장내영양진행종술,이기경호지위위중증환자적영양지지제공삼고。
Most crit call y ill children have severe stress,the metabolic changes are speic fic and com-plex.Enternal nutritio n and early enternal nutrition can maintenance the nutrition metabolism andp rotect the intestinal mucosal bar ier na d digestive fnu ction.It also improve the perufs ion of tissue,regulate the immune, and significantly reduce the infection and the incidence of multiple organ dysfunction syndrome,reduce the occurrence of infection,so as to improve the rp ognosi .It has broad prospects for cliniacl application.Early enteral nutrition is the focus of this ap per,in order to provide some reference for the treatment of critci ally ill chli dren.