新生儿肠外营养管理专家共识（2025）

doi:10.7499/j.issn.1008-8830.2411156

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摘要肠外营养（parenteral nutrition, PN）已广泛应用于新生儿医学领域，对于不能通过肠内营养满足机体能量和各种营养素需求的危重新生儿或早产儿是挽救生命的一项重要治疗措施。为进一步规范和优化PN的临床管理，基于国内外相关研究进展，该共识制订工作组采用证据推荐分级的评估、制订与评价方法，对PN的适应证、应用途径、能量、液体量、营养液组成、停止时机及监测等7个方面提出24条推荐意见，旨在为相关从业人员提供PN管理的建议，以改善新生儿近远期预后。

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	中国医师协会新生儿科医师分会营养专业委员会
	中国医师协会新生儿科医师分会早产儿专业委员会
	《中国当代儿科杂志》编辑委员会

关键词 ：肠外营养, 营养素, 氨基酸, 脂肪乳, 专家共识, 早产儿

Abstract：Parenteral nutrition (PN) is widely utilized in the field of neonatology and is a critical life-saving intervention for critically ill neonates or preterm infants who cannot meet their energy and nutrient needs through enteral feeding. To further standardize and optimize the clinical management of PN, this consensus was developed by a working group based on relevant research progress both domestically and internationally. Employing the Grading of Recommendations Assessment, Development and Evaluation, the consensus presents 24 recommendations covering seven aspects of PN: indications, administration routes, energy, fluid volume, composition of nutritional solutions, timing of cessation, and monitoring. The aim is to provide guidance for relevant practitioners in PN management to improve the short-term and long-term outcomes for neonates.

Key words： Parenteral nutrition Nutrient Amino acid Lipid emulsion Expert consensus Preterm infant

收稿日期: 2024-11-27

基金资助:北京大学第三医院临床队列建设项目（BYSYDL2019008）。

通讯作者: 童笑梅，女，教授，北京大学第三医院儿科，Email：tongxm2007@126.com E-mail: tongxm2007@126.com

引用本文:

中国医师协会新生儿科医师分会营养专业委员会,中国医师协会新生儿科医师分会早产儿专业委员会,《中国当代儿科杂志》编辑委员会. 新生儿肠外营养管理专家共识（2025）[J]. 中国当代儿科杂志, 2025, 27(3): 247-261.

Nutritional Committee of Neonatology Branch of Chinese Medical Doctor Association,Preterm Committee of Neonatology Branch of Chinese Medical Doctor Association,Editorial Committee of Chinese Journal of Contemporary Pediatrics. Expert consensus on parenteral nutrition management in neonates (2025)[J]. CJCP, 2025, 27(3): 247-261.

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