留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

允许性低热量营养在重症烧伤营养治疗中的应用及研究进展

房贺 夏照帆

房贺, 夏照帆. 允许性低热量营养在重症烧伤营养治疗中的应用及研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(7): 685-689. DOI: 10.3760/cma.j.cn501225-20221010-00445.
引用本文: 房贺, 夏照帆. 允许性低热量营养在重症烧伤营养治疗中的应用及研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(7): 685-689. DOI: 10.3760/cma.j.cn501225-20221010-00445.
Fang H,Xia ZF.Application and research progress of permissive hypocaloric nutrition in nutritional therapy of severe burns[J].Chin J Burns Wounds,2023,39(7):685-689.DOI: 10.3760/cma.j.cn501225-20221010-00445.
Citation: Fang H,Xia ZF.Application and research progress of permissive hypocaloric nutrition in nutritional therapy of severe burns[J].Chin J Burns Wounds,2023,39(7):685-689.DOI: 10.3760/cma.j.cn501225-20221010-00445.

允许性低热量营养在重症烧伤营养治疗中的应用及研究进展

doi: 10.3760/cma.j.cn501225-20221010-00445
基金项目: 

上海市科技创新行动计划 22Y11900200

国家自然科学基金重点项目 81930057

国家自然科学基金青年科学基金项目 81701899

海军军医大学深蓝人才工程项目 2021-28

海军军医大学第一附属医院教学成果立项培育项目 CHPY2021B04

详细信息
    通讯作者:

    夏照帆,Email:xiazhaofan@163.com

Application and research progress of permissive hypocaloric nutrition in nutritional therapy of severe burns

Funds: 

Shanghai Science and Technology Innovation Action Plan 22Y11900200

Key Program of National Natural Science Foundation of China 81930057

Youth Science Foundation Project of National Natural Science Foundation of China 81701899

The Deep Blue Project of Naval Medical University 2021-28

Teaching Achievement Establishment and Cultivation Project of the First Affiliated Hospital of Naval Medical University CHPY2021B04

More Information
  • 摘要: 营养治疗在重症烧伤的救治中发挥重要作用,随着对重症烧伤后代谢规律和机体反应认识的不断深入,营养治疗的理念和措施也在不断地发展与进步。允许性低热量营养是一种针对重症患者的营养管理方式,一般指能量摄入低于70%能量需求的营养供给方式。该文旨在综述重症烧伤后的代谢特点,以及允许性低热量营养的实施时机、持续时间、目标热量和营养内容等,以期为临床医师的临床决策提供借鉴,提高重症烧伤患者营养治疗的效果,改善患者预后。

     

  • 参考文献(35)

    [1] ISBI Practice Guidelines Committee,SubcommitteeSteering,SubcommitteeAdvisory.ISBI practice guidelines for burn care[J].Burns,2016,42(5):953-1021.DOI: 10.1016/j.burns.2016.05.013.
    [2] SingerP,BlaserAR,BergerMM,et al.ESPEN guideline on clinical nutrition in the intensive care unit[J].Clin Nutr,2019,38(1):48-79.DOI: 10.1016/j.clnu.2018.08.037.
    [3] 彭艳,文柯力,周发春.如何制定危重症热卡供给的目标?[J/OL].中华重症医学电子杂志(网络版),2018,4(1):60-64[2022-10-10].https://d.wanfangdata.com.cn/periodical/zhzzyxdzzz-wlb201801013.DOI: 10.3877/cma.j.issn.2096-1537.2018.01.013.
    [4] 彭曦.我国烧伤营养的发展历程与未来方向[J/CD].中华损伤与修复杂志(电子版),2020,15(5):331-336.DOI: 10.3877/cma.j.issn.1673-9450.2020.05.001.
    [5] PorterC,TompkinsRG,FinnertyCC,et al.The metabolic stress response to burn trauma: current understanding and therapies[J].Lancet,2016,388(10052):1417-1426.DOI: 10.1016/S0140-6736(16)31469-6.
    [6] SchieffelersDR,van BredaE,GebruersN,et al.Status of adult inpatient burn rehabilitation in Europe: are we neglecting metabolic outcomes?[J/OL].Burns Trauma,2021,9:tkaa039[2022-10-10].https://pubmed.ncbi.nlm.nih.gov/33709001/.DOI: 10.1093/burnst/tkaa039.
    [7] KnuthCM,AugerC,JeschkeMG.Burn-induced hypermetabolism and skeletal muscle dysfunction[J].Am J Physiol Cell Physiol,2021,321(1):C58-C71.DOI: 10.1152/ajpcell.00106.2021.
    [8] WischmeyerPE.Nutrition therapy in sepsis[J].Crit Care Clin,2018,34(1):107-125.DOI: 10.1016/j.ccc.2017.08.008.
    [9] LamNN,KhanhPQ,AnNH.The use of propranolol in adult burn patients: safety and outcome influence[J].Burns,2022,48(4):767-773.DOI: 10.1016/j.burns.2021.08.024.
    [10] PatsourisD,QiP,AbdullahiA,et al.Burn induces browning of the subcutaneous white adipose tissue in mice and humans[J].Cell Rep,2015,13(8):1538-1544.DOI: 10.1016/j.celrep.2015.10.028.
    [11] LiuX,LiuZ,LiD,et al.Mitochondria play a key role in oxidative stress-induced pancreatic islet dysfunction after severe burns[J].J Trauma Acute Care Surg,2022,92(6):1012-1019.DOI: 10.1097/TA.0000000000003490.
    [12] NakazawaH,WongLP,SheltonL,et al.Farnesysltransferase inhibitor prevents burn injury-induced metabolome changes in muscle[J].Metabolites,2022,12(9):800.DOI: 10.3390/metabo12090800.
    [13] NakazawaH,IkedaK,ShinozakiS,et al.Burn-induced muscle metabolic derangements and mitochondrial dysfunction are associated with activation of HIF-1α and mTORC1: role of protein farnesylation[J].Sci Rep,2017,7(1):6618.DOI: 10.1038/s41598-017-07011-3.
    [14] Berlanga-AcostaJ,Iglesias-MarichalI,Rodríguez-RodríguezN,et al.Review: insulin resistance and mitochondrial dysfunction following severe burn injury[J].Peptides,2020,126:170269.DOI: 10.1016/j.peptides.2020.170269.
    [15] ISBI Practice Guidelines Committee,SubcommitteeAdvisory,SubcommitteeSteering.ISBI practice guidelines for burn care, part 2[J].Burns,2018,44(7):1617-1706.DOI: 10.1016/j.burns.2018.09.012.
    [16] CompherC,BinghamAL,McCallM,et al.Guidelines for the provision of nutrition support therapy in the adult critically ill patient: the American Society for Parenteral and Enteral Nutrition[J].JPEN J Parenter Enteral Nutr,2022,46(1):12-41.DOI: 10.1002/jpen.2267.
    [17] YangYJ,SuS,ZhangY,et al.Effects of enteral nutrition with different energy supplies on metabolic changes and organ damage in burned rats[J/OL].Burns Trauma,2022,10:tkac042[2022-12-10].https://pubmed.ncbi.nlm.nih.gov/36420355/.DOI: 10.1093/burnst/tkac042.
    [18] HurtRT,SteigerE.Early history of home parenteral nutrition: from hospital to home[J].Nutr Clin Pract,2018,33(5):598-613.DOI: 10.1002/ncp.10180.
    [19] 彭曦,汪仕良. 烧伤临床营养新理念:从营养支持到营养治疗[J].中华烧伤杂志,2011,27(5):329-331.DOI: 10.3760/cma.j.issn.1009-2587.2011.05.002.
    [20] FranckAJ.Quality improvement initiative to reduce adverse effects associated with parenteral nutrition overfeeding[J].Frontline Gastroenterol,2019,10(1):67-71.DOI: 10.1136/flgastro-2018-100995.
    [21] HerndonD,ZhangF,LineaweaverW.Metabolic responses to severe burn injury[J].Ann Plast Surg,2022,88(2 Suppl 2):S128-131.DOI: 10.1097/SAP.0000000000003142.
    [22] PhamCH,FangM,VrouweSQ,et al.Evaluating the safety and efficacy of intraoperative enteral nutrition in critically ill burn patients: a systematic review and meta-analysis[J].J Burn Care Res,2020,41(4):841-848.DOI: 10.1093/jbcr/iraa036.
    [23] DoigGS,SimpsonF,SweetmanEA,et al.Early parenteral nutrition in critically ill patients with short-term relative contraindications to early enteral nutrition: a randomized controlled trial[J].JAMA,2013,309(20):2130-2138.DOI: 10.1001/jama.2013.5124.
    [24] WeimannA,BragaM,CarliF,et al.ESPEN practical guideline: clinical nutrition in surgery[J].Clin Nutr,2021,40(7):4745-4761.DOI: 10.1016/j.clnu.2021.03.031.
    [25] HeartNational, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network,RiceTW,WheelerAP,et al.Initial trophic vs full enteral feeding in patients with acute lung injury: the EDEN randomized trial[J].JAMA,2012,307(8):795-803.DOI: 10.1001/jama.2012.137.
    [26] ArabiYM,AldawoodAS,HaddadSH,et al.Permissive underfeeding or standard enteral feeding in critically ill adults[J].N Engl J Med,2015,372(25):2398-2408.DOI: 10.1056/NEJMoa1502826.
    [27] 彭曦.重症烧伤患者的代谢分期及营养治疗策略[J].中华烧伤杂志,2021,37(9):805-810.DOI: 10.3760/cma.j.cn501120-20210802-00264.
    [28] SierpEL,KurmisR,LangeK,et al.Nutrition and gastrointestinal dysmotility in critically ill burn patients: a retrospective observational study[J].JPEN J Parenter Enteral Nutr,2021,45(5):1052-1060.DOI: 10.1002/jpen.1979.
    [29] McClaveSA,TaylorBE,MartindaleRG,et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)[J].JPEN J Parenter Enteral Nutr,2016,40(2):159-211.DOI: 10.1177/0148607115621863.
    [30] SunJK,NieS,ChenYM,et al.Effects of permissive hypocaloric vs standard enteral feeding on gastrointestinal function and outcomes in sepsis[J].World J Gastroenterol,2021,27(29):4900-4912.DOI: 10.3748/wjg.v27.i29.4900.
    [31] OwaisAE,KabirSI,McnaughtC,et al.A single-blinded randomised clinical trial of permissive underfeeding in patients requiring parenteral nutrition[J].Clin Nutr,2014,33(6):997-1001.DOI: 10.1016/j.clnu.2014.01.005.
    [32] PengX,WangK,ZhangY,et al.Establishment and assessment of new formulas for energy consumption estimation in adult burn patients[J].PLoS One,2014,9(10):e110409.DOI: 10.1371/journal.pone.0110409.
    [33] ClarkA,ImranJ,MadniT,et al.Nutrition and metabolism in burn patients[J/OL].Burns Trauma,2017,5:11[2022-10-10].https://pubmed.ncbi.nlm.nih.gov/28428966/.DOI: 10.1186/s41038-017-0076-x.
    [34] JensenGL,MirtalloJ,CompherC,et al.Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee[J].Clin Nutr,2010,29(2):151-153.DOI: 10.1016/j.clnu.2009.11.010.
    [35] 房贺,徐龙,朱峰.持续炎症-免疫抑制-分解代谢综合征在危重烧伤中的研究进展[J].中华烧伤杂志,2019,35(7):548-551.DOI: 10.3760/cma.j.issn.1009-2587.2019.07.015.
  • 加载中
计量
  • 文章访问数:  143
  • HTML全文浏览量:  61
  • PDF下载量:  36
  • 被引次数: 0
出版历程
  • 收稿日期:  2022-10-10
  • 网络出版日期:  2023-07-19

目录

    /

    返回文章
    返回