Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023)
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摘要: 规范化营养支持治疗可有效改善新型冠状病毒感染患者的营养状况、免疫功能和临床结局,加速机体康复并降低复发风险,提高生活质量,在新型冠状病毒感染患者的治疗与康复中发挥着重要作用。《新型冠状病毒感染诊疗方案(试行第十版)》中也明确提出,应将营养支持治疗纳入新型冠状病毒感染患者治疗与康复的全过程。为此,北京市临床营养治疗质量控制和改进中心组织相关专家,在结合最新临床营养指南、研究证据及临床实践经验的基础上,制订了《新型冠状病毒感染患者营养支持治疗专家建议(2023)》。本建议提出,应建立并遵循包括营养筛查、营养诊断、营养支持治疗和临床监测在内的规范化营养管理路径与策略,并结合新型冠状病毒感染患者的临床特点,实施个体化营养管理,旨在为临床医生和临床营养医师等专业人员开展规范化营养支持治疗提供借鉴。Abstract: The standardized nutrition support therapy can improve the nutritional status, immunity, quality of life, and clinical outcomes of patients with novel coronavirus disease (COVID-19) infection. The latest Chinese government policy also clearly states that nutrition support therapy should be included in the whole process of treatment and recovery of patients with COVID-19. Therefore, the Beijing Quality Control and Improvement Center for Clinical Nutrition Therapy has organized relevant experts to formulate the Recommendations of Nutritional Treatment for Patients with COVID-19 Infection (2023), following the latest clinical nutrition guidelines, research evidence and clinical practice of nutrition support of COVID-19. The recommendations suggest that individualized nutrition management be implemented by following the standardized pathway of nutrition management, which includes nutrition-risk screening, malnutrition diagnosis, nutrition treatment and nutrition monitoring, and by taking into account the clinical characteristics of patients with COVID-19.
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Key words:
- COVID-19 /
- nutritional support /
- therapeutic /
- critically ill patients /
- pediatric patients /
- maternal patients
作者贡献:本诊疗建议由北京市临床营养治疗质量控制与改进中心发起并完成。于康负责领导组建编写小组及本建议的审校定稿。康军仁、于康、刘燕萍、闫洁、窦攀、华鑫负责撰写建议初稿及对本建议内容进行讨论和修订;陈伟、窦攀、方京徽、方玉、华鑫、郝淑苹、洪忠新、贾凯、康军仁、李百花、李冉、李融融、李响、李缨、李振水、李珊珊、刘燕萍、刘鹏举、刘英华、柳鹏、石劢、史文丽、孙文彦、王岩、闫洁、杨勤兵、杨子艳、于康、于淑清、张谦、赵霞负责本建议的第2次讨论和修订工作。利益冲突:所有参与本建议制定的人员均声明不存在利益冲突审稿专家(按姓氏首字母排序):陈伟(北京协和医院),方京徽(北京协和医院),方玉(北京大学肿瘤医院),郝淑苹(北京市平谷区医院),洪忠新(北京友谊医院),贾凯(北京朝阳医院),李百花(北京大学第三医院),李冉(北京妇产医院),李融融(北京协和医院),李响(中国医学科学院阜外医院),李缨(北京宣武医院),李振水(北京天坛医院),李珊珊(北京协和医院),刘鹏举(北京协和医院),刘英华(解放军总医院),柳鹏(北京大学人民医院),石劢(吉林医药学院),史文丽(北京博爱医院),孙文彦(北京协和医院),王岩(北京良乡医院),杨勤兵(清华长庚医院),杨子艳(北京医院),于淑清(北京佑安医院),张谦(北京同仁医院),赵霞(北京积水潭医院) -
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