本文選題：重癥神經(jīng)疾病　切入點：能量消耗　出處：《腸外與腸內(nèi)營養(yǎng)》2016年04期 　論文類型：期刊論文

【摘要】：目的:通過間接能量測定值與經(jīng)驗?zāi)芰抗浪阒当容^,為重癥神經(jīng)疾病病人提供合理能量供給依據(jù)。方法:納入40例機械通氣治療的神經(jīng)疾病危重癥病人,采用間接能量測定法獲得能量值,根據(jù)間接能量測定值偏離經(jīng)驗?zāi)芰抗浪阒党潭确譃槟芰拷咏M(偏離經(jīng)驗?zāi)芰抗浪阒怠?5%)和能量偏離組(偏離經(jīng)驗?zāi)芰抗浪阒?5%),分析兩組病人能量值偏離的影響因素。結(jié)果:能量接近組19例,能量偏離組21例。兩組單因素比較,年齡、BMI、腦卒中、腦炎、應(yīng)用鎮(zhèn)靜肌松藥等5個因素差異均有顯著性統(tǒng)計學(xué)意義(P0.05)。經(jīng)多因素Logistic回歸分析后,僅病種分類中的腦炎為能量值偏離的獨立影響因素(P=0.024)。結(jié)論:腦炎病人間接能量測定值明顯偏離(高于)經(jīng)驗?zāi)芰抗浪阒?不適合采用經(jīng)驗?zāi)芰抗浪惴?其他病人間接能量測定值與經(jīng)驗?zāi)芰抗浪阒到咏?br/>[Abstract]:Objective: to provide a reasonable basis for energy supply to patients with severe neurological diseases by comparing indirect energy measurement and empirical energy estimation. Methods: 40 patients with severe neurological diseases treated by mechanical ventilation were included in this study. The indirect energy measurement method was used to obtain the energy value. According to the degree of deviation from empirical energy, indirect energy measurement value is divided into two groups: energy approaching group (deviation empirical energy estimation 鈮，

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