中国实用儿科杂志

中国实用儿科杂志 ›› 2023, Vol. 38 ›› Issue (3): 183-186.DOI: 10.19538/j.ek2023030604

• 指南解读 • 上一篇    下一篇

2022年《体外生命支持组织指南：新生儿和儿童体外膜氧合期间营养支持的提供与评估》解读

  

  1. 1.浙江大学医学院附属儿童医院，浙江  杭州  310003；2.南昌大学，江西  南昌  330031
  • 出版日期:2023-03-06 发布日期:2023-03-28
  • 通讯作者: 陈秀萍，电子信箱：chcxp@zju.edu.cn

Interpretation of the 2022 Extracorporeal Life Support Organization Guidelines for the Provision and Evaluation of Nutritional Support in the Neonatal and Pediatric ECMO Patients

  1. *Children's Hospital，School of Medicine，Zhejiang University，Hangzhou  310003，China
  • Online:2023-03-06 Published:2023-03-28

摘要： 体外膜氧合支持患儿处于高营养风险状态，一旦管理不善，严重影响预后，精细估算能量需求和选择最佳营养供给途径极为关键。2022年，体外生命支持组织颁布了新生儿和儿童体外膜氧合期间营养支持的提供与评估相关指南，从营养筛查与评估、代谢与营养需求、开始肠内营养与肠外营养支持时间、识别喂养不耐受及其管理策略、基于共识的营养计算方式等5个方面提出了7条建议。该文旨在解读该指南推荐内容，以期为临床医生针对此类患儿制订营养策略提供借鉴。

关键词: 新生儿, 儿童, 体外膜氧合, 营养支持

Abstract: Children supported by extracorporeal membrane oxygenation are in a state of high nutritional risk. Once mismanaged， it will seriously affect the prognosis. It is critical to accurately estimate energy requirements and select the best nutritional supply route. In 2022， the Extracorporeal Life Support Organization promulgated the guidelines for“Provision and Evaluation of Nutritional Support in the Neonatal and Pediatric ECMO Patients” ， putting forward 7 suggestions on nutritional screening and evaluation， metabolism and nutritional needs， time to start enteral and parenteral nutrition support， identification of feeding and its management strategy， and consensus-based nutrition calculation method. The purpose of this article is to interpret the recommendations of the guideline， in order to provide guidance for clinicians to formulate nutritional strategies for these children.

Key words: neonate, child, extracorporeal membrane oxygenation, nutritional support