肠内营养的研究进展及临床应用
Present research and clinical application of enteral nutrition
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摘要: 目的:评价肠内营养的研究进展与临床应用,供临床参考。方法:搜集近年来的国内、外医学文献,从发展历程、临床应用主要目的、分类和特殊营养物质等方面对肠内营养的临床应用予以评价和展望。结果:肠内营养是医院病人术后营养支持的重要组成部分,是供给病人特殊营养需求、促进病人康复的重要手段之一,另外,加入特殊营养物质的肠内营养制剂可以对特异性患者的免疫功能和代谢功能进行调理。结论:肠道在应激反应和危重疾病中起着重要的作用,通过肠内营养支持,可以减少器官功能障碍的发生,进一步加速组织的修复,促进病人的康复,改善临床预后。在将来营养和代谢调节剂会被用于预防疾病和改善病情,营养支持将成为主要或次要的疾病治疗手段,有着巨大的潜力和应用前景。Abstract: Objective:Evaluation of present research and clinical application of enteral nutrition for clinical reference. Methods:Domestic and foreign medical literatures in recent years were collected for evaluation and outlook of enteral nutrition from the course of development, the main purpose of the clinical application, classification and special nutrients. Results:Enteral nutrition was an important part of the inpatient postoperative nutritional support and an important means to supply patients with special nutritional requirements. Furthermore, enteral nutrition with special nutrients could recuperate immune and metabolic function of some specific patients. Conclusion:The intestinal played an important role in the stress response and critical illness. The primary purpose of enteral nutritional support was to reduce the incidence of organ dysfunction, further accelerate the restoration of the tissues, promote the patient’s recovery and improve clinical outcomes. In the future the nutrition and metabolism regulator will be used to prevent disease and improve illness. Nutrition support will become a major or minor disease treatment and has huge potential and application prospect.