成人烧伤营养治疗专家共识（2026版）

中华医学会烧伤外科学分会

doi:10.3760/cma.j.cn501225-20260717-00263

成人烧伤营养治疗专家共识（2026版）

doi: 10.3760/cma.j.cn501225-20260717-00263

中华医学会烧伤外科学分会

基金项目:

重庆英才创新领军人才项目 cstc2022ycjh-bgzxm0148

创伤与化学中毒全国重点实验室重点攻关计划 2024K003

详细信息

通信作者：彭曦,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,Email：pxlrmm@tmmu.edu.cn罗高兴,陆军军医大学（第三军医大学）第一附属医院全军烧伤研究所,创伤与化学中毒全国重点实验室,重庆 400038,Email：logxw@tmmu.edu.cn

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出版历程
- 收稿日期: 2026-07-17

Expert consensus on nutritional therapy for adult burns (2026 edition)

Funds:

Innovative Leading Talents Project of Chongqing cstc2022ycjh-bgzxm0148

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

摘要

摘要: 营养治疗是烧伤综合救治中的重要一环,直接影响患者预后。为推动安全、有效、规范地实施营养治疗,中华医学会烧伤外科学分会组织烧伤外科、重症医学、临床营养学及循证医学等多学科专家,制订了《成人烧伤营养治疗专家共识（2026版）》。该共识参照乔安娜·布里格斯研究所证据分级系统及推荐强度系统,围绕烧伤患者的营养风险筛查、营养状态评估、能量与蛋白质供给目标以及肠内肠外营养的适应证、启动时机等,形成了30条推荐意见。该共识的颁布将为成年烧伤患者的规范化营养治疗提供参考。
- 烧伤 /
- 营养治疗 /
- 肠内营养 /
- 肠外营养 /
- 专家共识
Abstract: Nutritional therapy is an essential part of comprehensive burn care and directly affects outcomes of patients. In order to ensure the safe, effective, and standardized delivery of nutritional therapy, the Chinese Burn Association has brought together a panel of multidisciplinary experts in the fields of burn surgery, critical care medicine, clinical nutrition, and evidence-based medicine to formulate the Expert consensus on nutritional therapy for adult burns (2026 edition). The consensus has been developed in full accordance with the Joanna Briggs Institute (JBI) Levels of Evidence System and Grades of Recommendation System. The consensus includes 30 recommendations covering nutritional risk screening, nutritional status assessment, energy and protein delivery targets, and the indications and timing for starting enteral and parenteral nutrition in burn patients. The publication of the consensus will serve as a reference for delivering nutritional therapy in adult burn patients.
- Burns /
- Nutritional therapy /
- Enteral nutrition /
- Parenteral nutrition /
- Expert consensus
所有编写组成员声明不存在利益冲突。无商业组织向本共识编写组支付费用,本共识制订过程中需要的资金均来自重庆英才创新领军人才项目（cstc2022ycjh-bgzxm0148）和创伤与化学中毒全国重点实验室重点攻关计划（2024K003）,用以承担制订过程中的材料费、差旅费及项目组织实施费用等,且推荐意见未受资助影响

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图 1 《成人烧伤营养治疗专家共识（2026版）》推荐意见流程图

注：NRS 2002为营养风险筛查2002,mNUTRIC为改良危重症营养风险,SGA为主观整体评估,EN为肠内营养,PN为肠外营养,ONS为口服营养补充；三医大公式指第三军医大学烧伤成人能量消耗估算公式；1 kcal=4.184 kJ《成人烧伤营养治疗专家共识（2026版）》编写组

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Table 1. 2014 版澳大利亚JBI循证卫生保健中心证据级别系统

证据级别	具体描述
1a	多项RCT的系统评价
1b	多项RCT及其他干预性研究的系统评价
1c	单项RCT
1d	准RCT
2a	多项类实验性研究的系统评价
2b	多项类实验性研究与其他低质量干预性研究的系统评价
2c	单项前瞻性有对照组的类实验性研究
2d	前后对照/回顾性对照的类实验性研究
3a	多项队列研究的系统评价
3b	多项队列研究与其他低质量观察性研究的系统评价
3c	单项有对照组的队列研究
3d	单项病例对照研究
3e	单项无对照组的观察性研究
4a	多项描述性研究的系统评价
4b	单项横断面研究
4c	病例系列研究
4d	个案研究
5a	对专家意见的系统评价
5b	专家共识
5c	基础研究/单项专家意见
注：JBI为乔安娜·布里格斯研究所（Joanna Briggs Institute）,RCT为随机对照试验

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Table 2. 2014版澳大利亚JBI循证卫生保健中心证据推荐强度系统

推荐级别	判断标准
强推荐	明确显示干预措施利大于弊或弊大于利；高质量证据支持应用；对资源分配有利或无影响；考虑了患者的价值观、意愿和体验
弱推荐	干预措施利大于弊或弊大于利,尽管证据尚不够明确；有证据支持应用,尽管证据质量不够高；对资源分配有利或无影响或有较小影响；部分考虑,或并未考虑患者的价值观、意愿和体验
注：JBI为乔安娜·布里格斯研究所（Joanna Briggs Institute）