The advance of nutritional support in the critical ill
- VernacularTitle:危重病人营养与代谢支持策略的演变
- Author:
Jianan REN
;
Jieshou LI
;
- Publication Type:Journal Article
- Keywords:
Critical ill;
Parenteral nutrition;
Enteral nutrition;
Glutamine;
Diet fiber,Somatotropin
- From:
Parenteral & Enteral Nutrition
1997;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The disadvantages of total parenteral nutrition (TPN) in critically ill patients were increased infection rate and hepatic dysfunction.Enteral nutrition (EN) can overcome the shortcomings of TPN and cost less.However,EN may not provide enough energy and protein because of the limited gut function.The best mode of the nutritional support in the critical ill patients is PN+EN.The non protein calorie and protein needs can be decided by the measured energy expenditure and overfeeding should be avoided.To further improve the critically ill patient nutritional status,immunonutrition and ecoimmunonutrition should be considered.
