代谢车测定老年慢病患者静息能量消耗与HB公式比较  

Comparison of REE of Critical Care Management System with Harris-Benedict Formula in Elderly Patients with Chronic Diseases

作　　者：卞月梅 尤祥妹[1] BIAN Yuemei;YOU Xiangmei(Department of Nutrition,The 117th Hospital of PLA,Hangzhou 310013,China)

机构地区：[1]中国人民解放军第一一七医院营养科,杭州310013

出　　处：《解放军预防医学杂志》2018年第1期21-23,共3页Journal of Preventive Medicine of Chinese People's Liberation Army

基　　金：浙江省医药卫生科技计划项目(No.2015KYB107);浙江省医学会临床科研资金项目(No.2015ZYC-B3)

摘　　要：目的利用代谢车测定老年慢病稳定期患者静息能量消耗(resting energy expenditure,REE),并比较REE与经典Harris-Benedict(HB)预算公式的差异,为指导老年慢病患者进行合理的营养支持提供依据。方法选择2015年1月-2016年12月在我院干部病房住院的老年慢病患者287例,采用代谢车对其进行REE测定,并同时依据HB预测公式进行计算,记录2种方法的REE数据并进行统计学分析。结果代谢车测定老年慢病患者REE显著低于HB公式预测值,仅为HB公式预测值的94.6%,差异有统计学意义(P<0.05);其中心脑血管疾病组及糖尿病组代谢车测定REE低于HB公式组(P<0.05),COPD组代谢车测定REE显著高于HB公式组(P<0.05),恶性肿瘤组中2种方法测定差异无统计学意义(P>0.05)。结论代谢车较HB预算公式能更科学地指导老年慢性病患者进行合理的营养治疗。Objective To compare the resting energy expenditure(REE)measured with the Critical Care Management system(CCM)with the Harris-Benedict formula in elderly patients with chronic diseases in order to provide data about nutritional support.Methods The two methods were used to measure the REE of 287 elderly patients who had been hospitalized between January 2015 and December 2016.The data and related statistics were compared.Results The REE of elderly patients measured with CCM was about 5.4%(P<0.05)less than that of the HB formula.The REE measured with CCM was less than that of the HB formula in patients with diabetes or cardiovascular diseases(P<0.05).The REE measured with CCM was higher than that of the HB formula in patients with chronic obstructive pulmonary diseases(P<0.05).There was no statistical difference between patients with malignant tumor(P>0.05).Conclusion REE measured with CCM is more accurate than that by the Harris-Benedict formula and can contribute more to nutritional therapies for elderly patients.

关 键 词：代谢车 老年慢病患者 REE HB公式 

分 类 号：R151[医药卫生—营养与食品卫生学]