重视烧伤康复期的营养治疗

彭曦; 苏森

doi:10.3760/cma.j.cn501225-20251105-00459

重视烧伤康复期的营养治疗

doi: 10.3760/cma.j.cn501225-20251105-00459

彭曦^,,
苏森

陆军军医大学（第三军医大学）第一附属医院临床医学研究中心,创伤与化学中毒全国重点实验室,重庆　400038

基金项目:

国家自然科学基金面上项目 82472549

创伤与化学中毒全国重点实验室重点攻关计划 2024K003

重庆市自然科学基金面上项目 CSTB2024NSCQ-MSX0031

详细信息

通讯作者:
彭曦,Email：pxlrmm@tmmu.edu.cn

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出版历程
- 收稿日期: 2025-11-05
- 网络出版日期: 2025-12-04

Emphasizing nutritional therapy in burn rehabilitation

Peng Xi^,,
Su Sen

Clinical Medical Research Center, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

General Program of National Natural Science Foundation of China 82472549

Key Research Project of State Key Laboratory of Trauma and Chemical Poisoning 2024K003

General Program of Natural Science Foundation of Chongqing CSTB2024NSCQ-MSX0031

More Information

Corresponding author: Peng Xi, Email: pxlrmm@tmmu.edu.cn

摘要

摘要: 烧伤属急性损伤,但其病程具有慢性病特征。烧伤康复期可持续数年,营养治疗对烧伤患者的康复至关重要。以往关于烧伤营养的研究主要集中在烧伤早期,对康复期的营养干预重视不够。烧伤康复期患者仍处于高代谢状态,伴有慢性炎症、胰岛素抵抗、脂肪褐变、肌肉萎缩、骨质流失及代谢紊乱,严重影响患者功能恢复与生活质量。基于此,该文系统论述了烧伤康复期的病理生理特点及代谢变化规律；提出了康复期营养治疗策略,涉及能量需求、宏量营养素配比及微量营养素供给等；倡导构建“医院—社区—家庭”一体化管理模式,形成营养评估、营养教育、营养干预、药物治疗和运动康复相结合的营养治疗体系,以期加快患者康复,顺利回归社会。
- 烧伤 /
- 康复 /
- 营养治疗 /
- 高代谢 /
- 代谢紊乱
Abstract: Although burn injury is an acute trauma, its clinical course exhibits characteristics of a chronic disease. Rehabilitation of burn patients often lasts several years, and nutritional therapy is crucial to their recovery. Previous burn nutrition research has primarily focused on the acute phase, with insufficient attention given to nutritional interventions during rehabilitation. Patients in the burn rehabilitation phase remain in hypermetabolism, accompanied by chronic inflammation, insulin resistance, fat browning, muscle wasting, bone loss, and metabolic disorders, which severely impair functional recovery and quality of life. Therefore, we systematically review the pathophysiological and metabolic alterations that occur during burn rehabilitation and propose evidence-based nutritional strategies. These include principles for estimating energy requirements, optimizing macronutrient composition, and ensuring adequate micronutrient intake. The paper advocates an integrated "hospital-community-home" care model that combines nutritional assessment, education, targeted interventions, pharmacotherapy, and exercise rehabilitation into a therapeutic system. This approach aims to accelerate patient recovery and facilitate successful reintegration into society.
- Burns /
- Rehabilitation /
- Nutritional therapy /
- Hypermetabolism /
- Metabolic disorder
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