[Optimizing perioperative nutrition management in enhanced recovery after surgery]

Zhonghua Wai Ke Za Zhi. 2019 Jul 1;57(7):513-516. doi: 10.3760/cma.j.issn.0529-5815.2019.07.007.
[Article in Chinese]

Abstract

As the concept of enhanced recovery after surgery (ERAS) have been widely promoted and applied in clinical practice,reasonable nutrition intervention strategy has been paid more and more attention. The whole-process nutrition management strategy has been optimized based on the ERAS concept,which mainly includes key points such as pre-operative nutrition screening and nutrition assessment,perioperative nutrition treatment,and post-discharge nutritional support. With more and more research evidences,the ERAS strategy would be more detailed and complete. Further nutrition-related high-quality researches is necessary to provide evidence support,aiming to establish a standardized,ERAS-optimized,whole-process nutrition management pathway.

随着加速康复外科(ERAS)理念的广泛推广,营养支持治疗的规范管理日益受到重视。其中,围手术期全程营养管理策略主要包括营养风险筛查和营养评定、围手术期营养干预、出院后营养随访等环节。随着ERAS临床研究的深入和证据的积累,ERAS中营养支持疗法的实施策略将会更加规范和完备。但该方面仍需要更多营养支持治疗方面的高质量循证研究证据,以建立规范化的ERAS全程营养管理流程。.

Keywords: Nutritional support; Perioperative care.

MeSH terms

  • Clinical Protocols / standards*
  • Humans
  • Nutrition Assessment
  • Nutrition Therapy / standards*
  • Nutritional Status
  • Nutritional Support
  • Perioperative Care / standards*
  • Preoperative Care