《2023年国际儿童肾脏营养工作组临床实践建议：儿童急性肾损伤的营养管理》解读

doi:10.12372/jcp.2024.23e0820

临床儿科杂志 ›› 2024, Vol. 42 ›› Issue (8): 667-672.doi: 10.12372/jcp.2024.23e0820

• 标准·方案·指南 • 下一篇

《2023年国际儿童肾脏营养工作组临床实践建议：儿童急性肾损伤的营养管理》解读

丁亚平, 夏姗姗, 张晨美()

浙江大学医学院附属儿童医院（浙江杭州 310057）

收稿日期:2023-08-29 出版日期:2024-08-15 发布日期:2024-08-06
通讯作者: 张晨美电子信箱：Email: chzcm@zju.edu.cn
基金资助:
国家重点研发计划(2021YFC2701800);国家重点研发计划(2021YFC2701801)

Interpretation of “2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations: Nutritional Management of Children with Acute Kidney Injury”

DING Yaping, XIA Shanshan, ZHANG Chenmei()

Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310057, Zhejiang, China

Received:2023-08-29 Published:2024-08-15 Online:2024-08-06

摘要/Abstract

摘要：

急性肾损伤（AKI）是危重患儿常见的多脏器功能障碍之一，可造成蛋白质-能量消耗，加剧肾脏功能损害，致死率极高。鉴于AKI营养代谢机制复杂和缺乏相关基础研究，如何满足AKI患儿的营养需求面临更多挑战。国际儿童肾脏营养工作组制定了临床实践建议《儿童急性肾损伤的营养管理》，本文旨在对该建议进行解读，以期为国内儿科领域针对AKI患儿构建系统化的营养管理方案提供参考。

关键词: 急性肾损伤, 营养, 专家共识, 儿童

Abstract:

Acute kidney injury is one of the most common multiple organ dysfunctions in critically ill children, which can cause protein-energy wasting, exacerbate renal impairment, and lead to extremely high mortality. Given the complexity of the nutritional and metabolic mechanisms of AKI and the lack of relevant basic research, and how to meet the nutritional needs of AKI substitutes faces more unique challenges. The Pediatric Kidney Injury Nutrition Working Group formulated the clinical practice recommendations of “Nutritional Management of Children with Acute Kidney Injury”. The purpose of this article is to interpret the recommendation, with a view to providing reference for the construction of a systematic nutritional management program for children with AKI in the in the domestic field of pediatrics.

Key words: acute kidney injury, nutrition, expert consensus, child

丁亚平, 夏姗姗, 张晨美. 《2023年国际儿童肾脏营养工作组临床实践建议：儿童急性肾损伤的营养管理》解读[J]. 临床儿科杂志, 2024, 42(8): 667-672.

DING Yaping, XIA Shanshan, ZHANG Chenmei. Interpretation of “2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations: Nutritional Management of Children with Acute Kidney Injury”[J]. Journal of Clinical Pediatrics, 2024, 42(8): 667-672.

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《2023年国际儿童肾脏营养工作组临床实践建议：儿童急性肾损伤的营养管理》解读

Interpretation of “2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations: Nutritional Management of Children with Acute Kidney Injury”

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