关键词: 营养治疗, 代谢, 重症病人, 肠外营养, 肠内营养

Abstract:

Current state, challenges and strategies in clinical nutrition therapy        WU Guo-hao.Departments of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032,China
Abstract    The results of recent large-scale clinical trials and scientific literature in the past fewer years have led us to review our understanding of the metabolic response to stress and molecular basis of nutritional support and evolution of clinical protocols aimed at treating artificial nutritional support as a therapeutic intervention， preventing loss of lean body mass and metabolic deterioration to improve clinical outcomes in the critically ill.

Key words: nutritional therapy, metabolism, critically illness, parenteral nutrition, enteral nutrition