成人肠外营养脂肪乳注射液临床应用指南(2023版)
Guideline for the clinical application of intravenous lipid emulsions with parenteral nutrition in adult patients (2023 edition)
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摘要: 脂肪乳是肠外营养中不可或缺的组成部分,临床应用中需了解其理化特性、药理特点、适应证及与其他营养素的相互作用等。合理应用脂肪乳可提供适当的能量供给并发挥药理作用,达到改善患者临床结局的目的。为规范肠外营养脂肪乳注射液的应用,中华医学会肠外肠内营养学分会与中国医师协会外科医师分会临床营养专家工作组组织国内相关领域专家,参照最新临床指南编撰国际标准规范,通过检索国内外文献,汇总临床证据,应用德尔菲法并结合我国专家经验,形成《成人肠外营养脂肪乳注射液临床应用指南(2023版)》,旨在推动肠外营养脂肪乳注射液的合理应用。Abstract: Lipid emulsions are indispensable components of parenteral nutrition. In clinical practice, it is necessary to understand their physicochemical properties, pharmacological charac-teristics, applicable symptoms, and interactions with other nutrients. Reasonable application of lipid emulsions can provide appropriate energy supply and exert pharmacological effects to improve clinical outcomes of patients. In order to standardize the application of lipid emulsions in parenteral nutrition, Chinese Society of Parenteral and Enteral Nutrition and Clinical Nutrition Committee of Surgical Branch of Chinese Medical Doctor Association organize experts in relevant fields to form this guideline by searching domestic and foreign literature, collecting clinical evidence, and applying the Delphi, in order to promote the rational application of lipid emulsions in parenteral nutrition.