21世纪的营养和代谢支持治疗
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中国临床营养杂志000126Nutritional and metabolic support in the 21st century
Duglas W. Wilmore, MD.
New approaches to nutritional support are necessary to test therapies that may potentially enhance outcomes. Such approaches include the move to rely on the enteral route for nutritent delivery, the ability to reduce exogenous calories in our nutritional support systems, the need to utilize nutrients for their pharmacological effects, the ability to use growth factors to enhance nutrient efficacy and the ability to institute nutritional supplementation before elective operations, thus practicing preventative nutrition. Testing these approaches in the years to come should allow us to identify modalities that will permit us to move away from nutritional therapy as a supportive modality and use it as a primary or secondary method of patient care.
有必要采用新的营养支持方法，以证明那些可能改进疗效的理论或假设。这些对策包括：更倾向于应用肠内途径提供营养支持，减少外源性的热卡供应，应用有特殊药理作用的营养素，应用生长因子增强营养支持的疗效，择期手术前开始营养支持，即预防性营养支持。在即将到来的新世纪，应用这些新的治疗方法，将使我们改变将营养治疗仅仅作为支持手段的观念，而使它成为主要的或辅助性的治疗措施。, http://www.100md.com
单位：
关键词：
中国临床营养杂志000126Nutritional and metabolic support in the 21st century
Duglas W. Wilmore, MD.
New approaches to nutritional support are necessary to test therapies that may potentially enhance outcomes. Such approaches include the move to rely on the enteral route for nutritent delivery, the ability to reduce exogenous calories in our nutritional support systems, the need to utilize nutrients for their pharmacological effects, the ability to use growth factors to enhance nutrient efficacy and the ability to institute nutritional supplementation before elective operations, thus practicing preventative nutrition. Testing these approaches in the years to come should allow us to identify modalities that will permit us to move away from nutritional therapy as a supportive modality and use it as a primary or secondary method of patient care.
有必要采用新的营养支持方法，以证明那些可能改进疗效的理论或假设。这些对策包括：更倾向于应用肠内途径提供营养支持，减少外源性的热卡供应，应用有特殊药理作用的营养素，应用生长因子增强营养支持的疗效，择期手术前开始营养支持，即预防性营养支持。在即将到来的新世纪，应用这些新的治疗方法，将使我们改变将营养治疗仅仅作为支持手段的观念，而使它成为主要的或辅助性的治疗措施。, http://www.100md.com