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重视老年患者的营养支持
引用本文:朱明炜. 重视老年患者的营养支持[J]. 中华临床营养杂志, 2010, 18(3): 131-133. DOI: 10.3760/cma.j.issn.1674-635X.2010.03.001
作者姓名:朱明炜
作者单位:卫生部北京医院普外科,100730
摘    要:
老年患者逐年增多,器官功能下降、代谢能力不足是其生理特点,较高营养风险概率是导致临床结局恶化的重要原因;推荐老年住院患者进行营养风险筛查,评分≥3分者,结合临床制定营养支持计划;胃肠功能基本正常的老年患者首选肠内营养,肠外营养遵循个体化原则,合理应用药理营养素可改善临床结局。

关 键 词:老年患者  营养风险  肠外营养  肠内营养

Optimize nutrition support among elderly patients
ZHU Ming-wei. Optimize nutrition support among elderly patients[J]. Chinese Journal of Clinical Nutrition, 2010, 18(3): 131-133. DOI: 10.3760/cma.j.issn.1674-635X.2010.03.001
Authors:ZHU Ming-wei
Affiliation:ZHU Ming-wei. (Department of General Surgery, Beijing Hospital, Beijing 100730, China)
Abstract:
Decreased organ function and metabolic deficiency are typical among elderly patients.High nutrition risks often result in poor clinical outcomes.Therefore,nutrition risk screening is recommended for the elderly inpatients, and a detailed nutrition support scheme shall be established for patients with a score≥3.Enteral nutritional support is the first choice for elderly patients with basically normal gastrointesternal functions,while patenteral nutrition support should be customized.Appropriate application of pharmacologic nutrients can also improve clinical outcomes.
Keywords:Elderly patients  Nutrition risk  Parenteral nutrition  Enteral nutrition
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