本文選題：能量代謝 + 能量供給��； 參考：《重慶醫(yī)學》2017年26期

【摘要】：目的探討機械通氣危重兒童的能量代謝及供給狀況。方法選取2014年1月至2015年12月海南省農(nóng)墾總醫(yī)院收治的156例機械通氣危重患兒為研究對象,采用床旁間接能量測定儀測定靜息能量消耗(REE),采用Shofield-HTWT公式計算患兒REE的預(yù)計值,通過二者之比來評估該患兒的能量代謝狀態(tài)。計算所有患兒的實際供給的能量及所需的攝入能量(REE實際值的1.1倍),通過二者之比來評估該患兒的能量供給狀況。比較不同性別、年齡、疾病類型(內(nèi)科疾病、外科術(shù)后)患兒的能量代謝狀態(tài)及能量供給狀況。結(jié)果156例危重患兒中低、正常、高能量代謝狀態(tài)者分別有82例(52.6%)、21例(13.5%)、53例(34.0%),能量供給不足、正常、過度者分別有51例(32.7%)、71例(45.5%)、34例(21.8%)。不同性別患兒的能量代謝及供給狀況比較差異無統(tǒng)計學意義(P0.05)。不同年齡組、疾病類型患兒的能量代謝狀態(tài)比較差異有統(tǒng)計學意義(P0.05)。結(jié)論行機械通氣的危重患兒以低能量代謝狀態(tài)多見,年齡較大、內(nèi)科疾病的患兒更容易出現(xiàn)低代謝狀態(tài),且能量供給的總體狀況不甚理想,需要個體化給予營養(yǎng)支持。
[Abstract]:Objective to investigate the energy metabolism and supply of mechanical ventilation critical children. Methods 156 critically ill children with mechanical ventilation were selected from January 2014 to December 2015 in Hainan Agricultural Reclamation General Hospital. The resting energy consumption (REE) was measured by bed side indirect energy meter, and the predicted value of REE was calculated by Shofield-HTWT formula. The energy metabolism of the child was evaluated by the ratio of the two. The actual energy supply and the required energy intake were calculated 1.1 times of the actual value of REE in all children, and the energy supply status was evaluated by the ratio of the two values. The energy metabolism and energy supply of children with different sex, age, disease type (internal diseases, postoperative surgery) were compared. Results among 156 critically ill children with moderate, normal and high energy metabolism, there were 82 cases (52.6%) and 21 cases (13.5%), 53 cases (34.0%). The energy supply was insufficient, normal, and excessive (51 cases), 71 cases (45.5%) and 34 cases (21.8%), respectively. There was no significant difference in energy metabolism and energy supply among different genders (P 0.05). There were significant differences in energy metabolism status among different age groups and disease types (P 0.05). Conclusion low energy metabolism is more common in the critically ill children undergoing mechanical ventilation, and the patients with medical diseases are more likely to have low metabolic state, and the overall energy supply is not satisfactory, so individualized nutritional support is needed.
【作者單位】： 海南省農(nóng)墾總醫(yī)院兒科;海南醫(yī)學院附屬醫(yī)院兒科;
【基金】：國家自然科學基金資助項目(81060016)
【分類號】：R720.597
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本文編號：2005261