摘要
目的：调查烧伤后1-7 d能量消耗（REE）的基本改变，以指导烧伤早期患者的营养治疗。方法：实测75例烧伤患者的REE，测点为烧伤后1、2、3和7 d，13名正常人测定值作为对照。结果：患者伤后1 d的REE与烧伤面积呈负相关（r=-0.658，P〈0.05）；伤后2、3 d则相关性不显著（r分别为-0.207和-0.264，P〉0.05）；而伤后7 d则为正相关（r=0.890，P〈0.05）。REE的变化可分为缓升期和高代谢期，伤后REE不升或升高后又迅速降低者提示预后不良。结论：大面积烧伤患者伤后早期REE有明显的缓升阶段，营养补充应有计划进行，切忌过量补给。
Objective： To study the changes of energy expenditure in burn adults on postburn day（PBD） 1 -7 in accordance with nutrition treatment. Methods： The resting energy expenditure （REE）was observed in 75 burn adults on PBD 1,2, 3 and 7. Results ： The total burn surface area was correlated with REE negatively on PBD 1 （ r = - 0. 658, P 〈 0.05 ）, insignificantly on PBD 2 （ r = - 0.207, P 〉 0.05 ） and PBD 3 （ r = - 0.264, P 〉 0.05 ）, but positively on PBD 7 （ r = 0. 890, P 〈 0.05 ）. The REE changes could he divided into a slow-rise and a sharp-rise stage. Sustained lower REE and/or sharp drop of REE suggested poor prognosis. Conclusion： There was a slow-rise stage of REE in burn adults, and nutrition treatment should be given in a planned way in severe burn patients, especially on PBD 1 -7.
出处
《医学研究生学报》
CAS
2008年第1期54-55,59,共3页
Journal of Medical Postgraduates
基金
南京军区南京总医院科研基金资助项目(批准号:2006046)
关键词
烧伤
能量消耗
Bum
Resting energy expenditure
