临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1243-1245.doi: 10.3969/j.issn.1005-6483.20251058

• 专家笔谈 • 上一篇    下一篇

重视神经重症病人营养治疗的规范化

赵恺 舒凯   

  1. 430030 湖北武汉,华中科技大学同济医学院附属同济医院神经外科
  • 收稿日期:2025-11-06 出版日期:2025-12-20 发布日期:2025-12-20
  • 基金资助:
    湖北省病理生理学会面上项目(2025HBAP015);北京医学奖励基金会课题(YXJL-2025-0463-0049)

Standardized nutritional therapy for critically ill patients in Neurosurgery

ZHAO Kai,SHU Kai   

  1. Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Chin
  • Received:2025-11-06 Online:2026-01-22 Published:2025-12-20

摘要: 营养治疗在神经重症病人的综合治疗体系中至关重要,但是在临床实践过程中仍存在实施和管理的缺陷。重视神经重症病人营养治疗的规范化开展,需要加强营养多学科综合治疗协作团队建设;落实营养风险和营养不良的评估;重视阶梯化营养治疗策略,提高营养治疗达标率;倡导保护性喂养,避免过度喂养;辨证施治发挥营养治疗的免疫调理作用。

关键词: 营养治疗; 神经重症; 多学科综合治疗

Abstract: Clinical nutritional therapy plays a crucial role in the treatment for critical ill patients in Neurosurgery,however,there are a few misunderstanding of theoretical knowledge and deficiencies in clinical practice.To prioritize standardized nutritional therapy for critically ill patients in Neurosurgery,we must strive in the following aspects:establishing multidisciplinary team(MDT) for nutritional therapy;performing assessments for nutritional risk and malnutrition;emphasizing stepwise nutritional therapy to improve the compliance rate of nutritional treatment;advocating protective feeding practices to avoid overfeeding and applying syndrome differentiation and treatment to improve immune-modulating effects of nutritional therapy.

Key words: nutritional therapy; neurocritical ill patients; multidisciplinary comprehensive treatment

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