重视烧伤患者营养不良的早期诊断与干预

彭曦; 苏森

doi:10.3760/cma.j.cn501225-20261008-00386

重视烧伤患者营养不良的早期诊断与干预

doi: 10.3760/cma.j.cn501225-20261008-00386

彭曦^1, ,,
苏森²

1.
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
2.
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,重庆　400038

基金项目:

创伤与化学中毒全国重点实验室重点攻关计划 2024K003

重庆英才创新领军人才项目 cstc2022ycjh-bgzxm0148

国家自然科学基金面上项目 82472549

详细信息

通讯作者:
彭曦,Email：pxlrmm@tmmu.edu.cn

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- 被引次数: 0
出版历程
- 收稿日期: 2026-10-08
- 网络出版日期: 2026-10-30

Emphasizing the early diagnosis and intervention of malnutrition in burn patients

Peng Xi^{1
, ,},
Su Sen²

1.
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
2.
Clinical Medical Research Center, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

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

Innovative Leading Talents Project of Chongqing cstc2022ycjh-bgzxm0148

General Program of National Natural Science Foundation of China 82472549

More Information

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

摘要

摘要: 营养不良是重症烧伤常见的并发症,直接影响患者预后。营养不良的早期诊断与干预可显著提高营养疗效,改善临床结局,但如何实施尚存争议,临床操作的规范性还有待提高。基于此,该文从营养不良诊断进展、烧伤患者营养不良诊断流程与策略以及早期营养干预方式出发,结合最新指南或共识意见及临床经验,重点分析讨论了骨骼肌质量与功能检测、营养目标设定以及肠外肠内营养策略等关键问题,提出了对应的推荐意见,以期为提高营养疗效、改善患者预后提供可参考的临床实践方案。
- 烧伤 /
- 营养不良 /
- 营养风险筛查 /
- 肠内营养 /
- 肠外营养
Abstract: Malnutrition is a common complication of severe burns and directly affects patient outcomes. Early diagnosis and intervention of malnutrition can significantly improve nutritional support effectiveness and clinical outcomes. Its use in practice remains controversial, and further work is needed to standardize clinical practice. This review examines advances in diagnosing malnutrition, diagnostic algorithms and strategies for malnutrition in burn patients, and early nutritional intervention methods. Drawing on the latest guidelines or consensus statements, and clinical experience, it focuses on key issues, including assessing skeletal muscle mass and function, setting nutritional targets, and strategies for parenteral and enteral nutrition. The recommendations aim to provide a referable clinical practice protocol to improve the efficacy of nutritional support and optimize patient outcomes.
- Burns /
- Malnutrition /
- Nutrition risk screening /
- Enteral nutrition /
- Parenteral nutrition
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参考文献(39)

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