• 南京軍區(qū)南京總醫(yī)院南京大學臨床學院(南京 210002);

臨床營養(yǎng)支持自1968年Dudrick與Wilmore創(chuàng)用靜脈營養(yǎng)(intravenous hyperalimentation)后，解決了腸道功能發(fā)生障礙時無適合途徑供給營養(yǎng)的難題，帶動了營養(yǎng)支持的發(fā)展。 在其后40年營養(yǎng)供給的方法、制劑與基礎理論都在不斷地改進，對臨床疾病的代謝改變也都有深入的研究，使臨床營養(yǎng)支持的理論、策略都有很大進步， 也取得了很多共識，制定了很多指南。有各國、各地、各個系統(tǒng)，各個疾病都有指南與共識的制定，并且隨著理論與技術的發(fā)展，對營養(yǎng)支持的作用、輸注的方法有深入的認識，各種指南、共識也都在不斷地更新、修正……

引用本文： 黎介壽. 臨床營養(yǎng)支持策略的變遷. 中國普外基礎與臨床雜志, 2009, 16(12): 953-955. doi: 復制

版權信息： ?四川大學華西醫(yī)院華西期刊社《中國普外基礎與臨床雜志》版權所有，未經(jīng)授權不得轉載、改編

1. Jones NE, Heyland DK. Implementing nutrition guidelines in the critical care setting: a worthwhile and achievable goal? [Ｊ]. JAMA， 2008; 300(23): 2798-2799.
2. Martindale RG, McClave SA, Vanek VW， et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary[Ｊ]. Crit Care Med, 2009; 37(5): 1757-1761.
3. Berger MM, Chioléro RL, Pannatier A, et al. A 10-year sur-vey of nutritional support in a surgical ICU: 1986-1995 [Ｊ]. Nutrition, 1997; 13(10): 870-877.
4. Gramlich L, Kichian K, Pinilla J, et al. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature [Ｊ]. Nutrition, 2004; 20(10): 843-848.
5. 黎介壽. 胃腸道外瘺（113例的治療體會） [Ｊ]. 中華外科雜志， 1978； （4）： 214-218.
6. Dvir D, Cohen J, Singer P. Computerized energy balance and complications in critically ill patients: an observational study [Ｊ]. Clin Nutr, 2006; 25(1): 37-44.
7. Heidegger CP, Romand JA, Treggiari MM, et al. Is it now time to promote mixed enteral and parenteral nutrition for the critically ill patient? [Ｊ]. Intensive Care Med, 2007; 33(6): 963-969.
  1. 1. Jones NE, Heyland DK. Implementing nutrition guidelines in the critical care setting: a worthwhile and achievable goal? [Ｊ]. JAMA， 2008; 300(23): 2798-2799.
  2. 2. Martindale RG, McClave SA, Vanek VW， et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary[Ｊ]. Crit Care Med, 2009; 37(5): 1757-1761.
  3. 3. Berger MM, Chioléro RL, Pannatier A, et al. A 10-year sur-vey of nutritional support in a surgical ICU: 1986-1995 [Ｊ]. Nutrition, 1997; 13(10): 870-877.
  4. 4. Gramlich L, Kichian K, Pinilla J, et al. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature [Ｊ]. Nutrition, 2004; 20(10): 843-848.
  5. 5. 黎介壽. 胃腸道外瘺（113例的治療體會） [Ｊ]. 中華外科雜志， 1978； （4）： 214-218.
  6. 6. Dvir D, Cohen J, Singer P. Computerized energy balance and complications in critically ill patients: an observational study [Ｊ]. Clin Nutr, 2006; 25(1): 37-44.
  7. 7. Heidegger CP, Romand JA, Treggiari MM, et al. Is it now time to promote mixed enteral and parenteral nutrition for the critically ill patient? [Ｊ]. Intensive Care Med, 2007; 33(6): 963-969.