严重烧伤患者的营养治疗研究进展  

Advances in the research of nutrition therapy in patients with severe burn

作　　者：陈俏华[1] 杨薛康[1] 胡大海[1] 

机构地区：[1]第四军医大学西京医院全军烧伤中心,烧伤与皮肤外科,西安710032

出　　处：《中华烧伤杂志》2016年第10期628-631,共4页Chinese Journal of Burns

摘　　要：近30年来，虽然烧伤的治疗和护理已经取得了长足进步，病死率和后遗症发生率大大降低，但对于烧伤总面积超过30％TBSA伴或不伴吸入性损伤的严重烧伤患者的救治，仍是一个难题。此类烧伤患者常伴有长达数月的代谢亢进或分解代谢异常，以及强烈的氧化应激反应和炎症反应等。因此，营养治疗是烧伤复苏初期必不可少的一步。本文对营养治疗的相关问题进行了综述，旨在对临床_T作起到一定的参考作用。Patients with severe burn are characterized by strong oxidative stress and intense inflammatory response, which will cause metabolic disorder. Therefore, nutrition therapy is very important for severe burn. Nutrition therapy includes en- teral nutrition （EN） and parenteral nutrition, and EN has the u- nique advantages. In recent years, more and more researchers focused on the EN for severe burn injuries, but there were still some confusing problems needing to solve. This article reviews the recent research about nutrition therapy for severe burn, including the route of feeding, energy requirements, and supple- ments of protein, carbohydrates, and microelements, and so on, so as to clarify some confusing questions about nutrition therapy for severe burn in clinical practice.

关 键 词：烧伤 肠道营养 能量代谢 

分 类 号：R644[医药卫生—外科学]