摘要
作者使用计算机控制的间接能量测量仪测量了肠瘘合并营养不良患者不同时刻的能量消耗。发现在进行全肠外营养支持时，总能量摄入按实测静息能量消耗的１．５倍给予可以尽快纠正患者的营养不良。进一步提高总能量摄入即按实测静息能量消耗的１．７５倍或２．０倍给予，并不能更快的改善营养不良，却会增加氧气消耗量和二氧化碳产生量及能量消耗，认为过度营养即过度供给营养底物为不合理的营养支持方式。
AbstractIn this study, computerized indirect calorimetricmeasurements were made using a medical graphics crit-ical care monitor (CCM) desktop analysis system in theobservation of metabolic state of 20 patients complicat-ed with external gastrointestinal fistula,While thesemalnourished patients were provided with 1.5 ×REE intotal energy intake,the malnutrition state could be re-versed.But with 1.75 or 2.0×REE or up total energyintake,the general nutritional state could not be im-proved faster,the O_2 consumption and CO_2 productionand energy expenditure increased,while the net glu-cose oxidation increased and net lipid oxidation de-creased or net lipogenesis occurred simultaneously. Webelieved that superfluous energy intake is harmful tocritically ill patients and may lead to cell injury anddysfunction.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第1期19-22,共4页
Chinese Journal of Surgery
