实用老年医学 ›› 2025, Vol. 39 ›› Issue (5): 439-443.doi: 10.3969/j.issn.1003-9198.2025.05.002

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老年重症病人营养治疗时机和途径选择

周静   

  1. 210029 江苏省南京市,南京医科大学第一附属医院重症医学科
  • 收稿日期:2025-03-06 出版日期:2025-05-20 发布日期:2025-05-20
  • 作者简介:周静 主任医师

Timing and route selection of nutritional treatment for elderly patients with critical illness

ZHOU Jing   

  1. Department of ICU, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2025-03-06 Online:2025-05-20 Published:2025-05-20

摘要: 老年重症病人营养不良风险高,可加剧器官功能衰竭,增加感染率、住院时间及死亡率,故营养治疗至关重要。同时,老年重症病人胃肠道功能减退、并发症多,器官功能不全。本文综述了老年重症病人营养治疗时机和喂养途径的合理选择,探讨兼顾安全性与有效性的营养支持策略。

关键词: 重症, 营养治疗, 老年人

Abstract: Elderly patients with critical illness are at high risk of malnutrition, which can exacerbate organ failure and increase the rates of infection, hospitalization, and mortality. Therefore, nutritional therapy is extremely important. Given that elderly critical patients often have reduced gastrointestinal function, multiple complications, and organ dysfunction. This article reviews the optimal timing and routes of nutritional support for elderly critically ill patients and explores strategies for nutritional support that balance safety and efficacy.

Key words: critical illness, nutritional support, aged

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