住院患者营养不良发生率高,合理的营养治疗能改善患者营养状况,降低应激损害,降低并发症发生率和病死 率,从而加速患者康复。 临床营养作为疾病治疗过程中不可缺少的重要组成部分,它的重要性越来越受到重视。 建立规范化 的临床营养诊疗路径以改善患者营养状况和临床结局是当今医学领域临床营养治疗的关键问题。 2023 年 4 月《中国成人患 者肠外肠内营养临床应用指南(2023 版)》正式发布,该指南基于已发表的临床营养指南及国内外最新临床证据,从营养筛查 与评估、肠内营养及肠外营养临床实践等 37 个具体问题出发,提出 60 条推荐意见,全面概括了临床营养诊治原则和诊疗措 施,提供了较为全面的营养治疗方案指导。 本文将对该指南的部分重点内容进行解读,以期为临床患者的规范化营养诊疗及 管理提供临床借鉴。

The incidence of malnutrition in hospitalized patients is high and proper nutritional treatment can improve the nutritional status of patients reduce stress damage reduce the incidence of complications and mortality and thus accelerate the recovery of patients. As an indispensable and important part of the course of disease treatment clinical nutrition has been paid more and more attention. Establishing a standardized clinical nutrition diagnosis and treatment path to improve patients' nutritional status and clinical outcomes is the key problem in the medical field. In April 2023 Guideline for clinical application of parenteral and enteral nutrition in adults patients in China 2023 edition was officially published. Based on published clinical nutrition guidelines and the latest clinical evidence at home and abroad the guidelines propose 60 recommendations from 37 specific issues such as nutrition screening and assessment enteral nutrition and parenteral nutrition clinical practice. It comprehensively summarizes the clinical diagnosis and treatment principles which also provides more comprehensive nutritional treatment program guidance. This article will interpret some key contents of the guideline to provide a clinical reference for the standardized nutritional diagnosis treatment and management of patients.