胰腺外科围术期全程化营养管理中国专家共识(2020版)

2020-10-30 中华医学会外科学分会胰腺外科学组 中华消化外科杂志.2020.19(10):1013-1029.

2019年,国际肝胆胰协会一项针对多个国家胰腺外科医师进行的调查研究结果显示:44%的医师不进行术前营养评价, 围术期的营养应用不规范 。2020 年,中华医学会肠外肠内营养学分会与中华医学会外科学分

中文标题:

胰腺外科围术期全程化营养管理中国专家共识(2020版)

发布日期:

2020-10-30

简要介绍:

2019年,国际肝胆胰协会一项针对多个国家胰腺外科医师进行的调查研究结果显示:44%的医师不进行术前营养评价, 围术期的营养应用不规范 。2020 年,中华医学会肠外肠内营养学分会与中华医学会外科学分会胰腺外科学组组织国内部分专家,对全国22个省35 个城市64 家三甲医院的96 名医师进行了胰十二指肠切除围术期营养管理的快照式调查(以下简称全国调查),其研究结果显示:营养支持不规范、不合理现象普遍存在(该研究将于本期同步刊发) 。结合该研究结果,参考国内外研究进展、指南共识及专家经验,中华医学会外科学分会胰腺外科学组和中华医学会肠外肠内营养学分会制订《胰腺外科围术期全程化营养管理中国专家共识(2020版)》(以下简称本共识),旨在推动统一的胰腺外科围术期全程化营养管理方略,为营养支持的规范开展提供依据。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=997313, encodeId=ef3399e31360, content=需要,攒积分好慢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/a0c352956dd542e6a9c70a15047728f3/5341adc093b846d7b348d5349bbda945.jpg, createdBy=64ea5294279, createdName=青囊, createdTime=Wed Jul 07 21:20:20 CST 2021, time=2021-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977365, encodeId=e3a69e7365be, content=赞👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210627/8180c576616c46459e6f5338c2484d14/0fba824aeab3461e9e11714a64b2b8a4.jpg, createdBy=cefd5535266, createdName=ms6000000724836118, createdTime=Sun Jun 27 17:39:22 CST 2021, time=2021-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973040, encodeId=90469e30407d, content=这里面的很人性化,需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e155412415, createdName=ms8000000054312428, createdTime=Sat Jun 12 12:40:39 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=960402, encodeId=304f9604028c, content=想要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b64e5313243, createdName=14890b85m58暂无昵称, createdTime=Sun Apr 25 16:29:44 CST 2021, time=2021-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949972, encodeId=1a049499e22d, content=我需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUfIg3740FbpmKGhbPIwIYKqvwBdAElC5zDdGesdaBs6pFgwibIRDd5jv0LIYBjib5kgwkdCqRsjcg/132, createdBy=1aa42547789, createdName=sayme13, createdTime=Sun Mar 21 20:35:23 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-07-07 青囊

    需要,攒积分好慢

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=997313, encodeId=ef3399e31360, content=需要,攒积分好慢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/a0c352956dd542e6a9c70a15047728f3/5341adc093b846d7b348d5349bbda945.jpg, createdBy=64ea5294279, createdName=青囊, createdTime=Wed Jul 07 21:20:20 CST 2021, time=2021-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977365, encodeId=e3a69e7365be, content=赞👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210627/8180c576616c46459e6f5338c2484d14/0fba824aeab3461e9e11714a64b2b8a4.jpg, createdBy=cefd5535266, createdName=ms6000000724836118, createdTime=Sun Jun 27 17:39:22 CST 2021, time=2021-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973040, encodeId=90469e30407d, content=这里面的很人性化,需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e155412415, createdName=ms8000000054312428, createdTime=Sat Jun 12 12:40:39 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=960402, encodeId=304f9604028c, content=想要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b64e5313243, createdName=14890b85m58暂无昵称, createdTime=Sun Apr 25 16:29:44 CST 2021, time=2021-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949972, encodeId=1a049499e22d, content=我需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUfIg3740FbpmKGhbPIwIYKqvwBdAElC5zDdGesdaBs6pFgwibIRDd5jv0LIYBjib5kgwkdCqRsjcg/132, createdBy=1aa42547789, createdName=sayme13, createdTime=Sun Mar 21 20:35:23 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-06-27 ms6000000724836118

    赞👍

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=997313, encodeId=ef3399e31360, content=需要,攒积分好慢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/a0c352956dd542e6a9c70a15047728f3/5341adc093b846d7b348d5349bbda945.jpg, createdBy=64ea5294279, createdName=青囊, createdTime=Wed Jul 07 21:20:20 CST 2021, time=2021-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977365, encodeId=e3a69e7365be, content=赞👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210627/8180c576616c46459e6f5338c2484d14/0fba824aeab3461e9e11714a64b2b8a4.jpg, createdBy=cefd5535266, createdName=ms6000000724836118, createdTime=Sun Jun 27 17:39:22 CST 2021, time=2021-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973040, encodeId=90469e30407d, content=这里面的很人性化,需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e155412415, createdName=ms8000000054312428, createdTime=Sat Jun 12 12:40:39 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=960402, encodeId=304f9604028c, content=想要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b64e5313243, createdName=14890b85m58暂无昵称, createdTime=Sun Apr 25 16:29:44 CST 2021, time=2021-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949972, encodeId=1a049499e22d, content=我需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUfIg3740FbpmKGhbPIwIYKqvwBdAElC5zDdGesdaBs6pFgwibIRDd5jv0LIYBjib5kgwkdCqRsjcg/132, createdBy=1aa42547789, createdName=sayme13, createdTime=Sun Mar 21 20:35:23 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-06-12 ms8000000054312428

    这里面的很人性化,需要

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=997313, encodeId=ef3399e31360, content=需要,攒积分好慢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/a0c352956dd542e6a9c70a15047728f3/5341adc093b846d7b348d5349bbda945.jpg, createdBy=64ea5294279, createdName=青囊, createdTime=Wed Jul 07 21:20:20 CST 2021, time=2021-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977365, encodeId=e3a69e7365be, content=赞👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210627/8180c576616c46459e6f5338c2484d14/0fba824aeab3461e9e11714a64b2b8a4.jpg, createdBy=cefd5535266, createdName=ms6000000724836118, createdTime=Sun Jun 27 17:39:22 CST 2021, time=2021-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973040, encodeId=90469e30407d, content=这里面的很人性化,需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e155412415, createdName=ms8000000054312428, createdTime=Sat Jun 12 12:40:39 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=960402, encodeId=304f9604028c, content=想要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b64e5313243, createdName=14890b85m58暂无昵称, createdTime=Sun Apr 25 16:29:44 CST 2021, time=2021-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949972, encodeId=1a049499e22d, content=我需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUfIg3740FbpmKGhbPIwIYKqvwBdAElC5zDdGesdaBs6pFgwibIRDd5jv0LIYBjib5kgwkdCqRsjcg/132, createdBy=1aa42547789, createdName=sayme13, createdTime=Sun Mar 21 20:35:23 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-04-25 14890b85m58暂无昵称

    想要

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=997313, encodeId=ef3399e31360, content=需要,攒积分好慢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/a0c352956dd542e6a9c70a15047728f3/5341adc093b846d7b348d5349bbda945.jpg, createdBy=64ea5294279, createdName=青囊, createdTime=Wed Jul 07 21:20:20 CST 2021, time=2021-07-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977365, encodeId=e3a69e7365be, content=赞👍, beContent=null, objectType=guider, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210627/8180c576616c46459e6f5338c2484d14/0fba824aeab3461e9e11714a64b2b8a4.jpg, createdBy=cefd5535266, createdName=ms6000000724836118, createdTime=Sun Jun 27 17:39:22 CST 2021, time=2021-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973040, encodeId=90469e30407d, content=这里面的很人性化,需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e155412415, createdName=ms8000000054312428, createdTime=Sat Jun 12 12:40:39 CST 2021, time=2021-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=960402, encodeId=304f9604028c, content=想要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b64e5313243, createdName=14890b85m58暂无昵称, createdTime=Sun Apr 25 16:29:44 CST 2021, time=2021-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949972, encodeId=1a049499e22d, content=我需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIUfIg3740FbpmKGhbPIwIYKqvwBdAElC5zDdGesdaBs6pFgwibIRDd5jv0LIYBjib5kgwkdCqRsjcg/132, createdBy=1aa42547789, createdName=sayme13, createdTime=Sun Mar 21 20:35:23 CST 2021, time=2021-03-21, status=1, ipAttribution=)]
    2021-03-21 sayme13

    我需要

    0

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