临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1240-1242.doi: 10.3969/j.issn.1005-6483.20251121

• 专家笔谈 • 上一篇    下一篇

围手术期营养治疗对外科术后实现教科书式结局的重要意义

张再重 肖春红 王烈   

  1. 350025 福建福州,福建医科大学福总临床医学院(厦门大学附属东方医院,福建中医药大学福总教学医院,联勤保障部队第九○○医院)普通外科
  • 收稿日期:2025-11-28 出版日期:2025-12-20 发布日期:2025-12-20
  • 通讯作者: 王烈,Email:fzptwk@163.com
  • 基金资助:
    福建省自然科学基金面上项目(2022J01489);联勤保障部队第九○○医院面上项目(2022MS01)

The significant importance ofperioperative nutritional therapy in achieving textbook outcomes after surgery

ZHANG Zaizhong,XIAO Chunhong,WANG Lie   

  1. Department of General Surgery,Fuzong Clinical Medical College of Fujian Medical University,Dongfang Hospital of Xiamen University,School of Medicine,900th Hospital of Joint Logistics Support Force,Fuzhou 350025,China
  • Received:2025-11-28 Online:2026-01-22 Published:2025-12-20

摘要: 教科书式结局是近些年来提出的外科新概念,整合了术后并发症、ICU及住院时间、短期内再入院和围手术期死亡、根治性切除等多种指标,能够更加全面、客观地反映外科手术质量和病人预后。针对具有营养风险和营养不良的病人,贯穿整个围手术期“术前、术中、术后和出院后”的全程化营养管理,可以有效提升营养状况,增强机体耐受性,促进术后康复,减少术后并发症,改善临床预后,对外科术后实现教科书式结局具有重要意义。

关键词: 营养治疗; 围手术期; 外科; 教科书式结局

Abstract: The textbook outcome is a novel surgical concept introduced in recent years,integrating various indicators such as postoperative complications,ICU and hospital stays,short-term readmissions,perioperative mortality,and radical resection.It provides a more comprehensive and objective reflection of surgical quality and patient prognosis.For patients at nutritional risk or with malnutrition,a holistic nutritional management approach spanning the entire perioperative period——preoperative,intraoperative,postoperative,and post-discharge——can effectively improve nutritional status,enhance 〖JP3〗physiological tolerance,promote postoperative recovery,reduce complications,and improve clinical outcomes.Perioperative nutritional therapy plays a crucial role in achieving textbook outcomes in surgical patients.

Key words: nutritional therapy; perioperative period; surgery; textbook outcomes

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