严重烧伤病人能量消耗的监测及营养护理  

The Measurement of Energy Expenditure of Severe Burn Patients

作　　者：刘翠梅[1] 解海燕[1] 王淑君[1] 张晓影[1] 

机构地区：[1]中国人民解放军第304医院烧伤科,北京100037

出　　处：《中华护理杂志》2000年第9期519-520,共2页Chinese Journal of Nursing

摘　　要：目的 :监测烧伤病人的静息能量消 ,以了解烧伤后能量变化的规律。方法 :>30 %全身体表面积烧伤的病人2 1例 ,按切痂时间早晚分组 ,通过代谢车测定静息能量消耗。结果 :静息能量消耗高峰维持在伤后 7～ 2 1天 ,随创面封闭及愈合逐步减少。休克期切痂植皮病人术后静息能量消耗明显低于非休克期切痂植皮病人。结论 :烧伤病人伤后 7～ 2 1天是临床营养治疗及护理的重点阶段 ,休克期切痂植皮及早封闭创面是降低高代谢的有效手段。Objective:To investigate the dynamic changes of energy expenditure of severe burn patients.Methods:21 patients with burns over 30% of the total body surface area were monitored by cardiorespiratory diagnostic systems (Medical Graphics Corporation,USA) at patients' bedsides .21 adult males were assigned to two treatment groups.The clinical conditions and non operative management in two groups were comparable,but there were some different in time of eschar excision and skin grafting.Results:With the increase in burn size,the REEs elevated correspondingly,and sustained to a peak duing 7～21 days postburn.The elevated REE would decrease slowly following the wound healing.Although an increase in REE was observed in all patients,the patients with eacharectomy during burn shock stage had lower REEs than those with escharectomy after burn shock stage.Conclusion:In severe burn patients,it is important to enhance nutrition support during 7-21 days postburn.And escharectomy during burn shock stage contributes to decreasing the hypermetabolic response to burn injury.Therefore,the postburn dynamic orderliness of nutritious requirement for major burn patients will be mastered,then appropriate nutritious scheme can be adjusted by the REE value in time Author's address Burns Institute of 304th Hosptital,Beijing,China,100037

关 键 词：烧伤 静息能量消耗 代谢监测 营养 护理 

分 类 号：R473.6[医药卫生—护理学]