Metabolic staging and nutritional treatment strategies of severely burned patients

Peng Xi

doi:10.3760/cma.j.cn501120-20210802-00264

Volume 37 Issue 9

Sep. 2021

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2021 > 37(9): 805-810

WANG Yun-chuan, JIA Chi-yu, ZHANG Wan-fu, et al. Protective effect of insulin on oxygen-radical induced hepatic injury in severely scalded rats[J]. Chin j Burns, 2007, 23(6): 428-431.

Citation:

Peng X.Metabolic staging and nutritional treatment strategies of severely burned patients[J].Chin J Burns,2021,37(9):805-810.DOI: 10.3760/cma.j.cn501120-20210802-00264.

WANG Yun-chuan, JIA Chi-yu, ZHANG Wan-fu, et al. Protective effect of insulin on oxygen-radical induced hepatic injury in severely scalded rats[J]. Chin j Burns, 2007, 23(6): 428-431.

Citation:

Peng X.Metabolic staging and nutritional treatment strategies of severely burned patients[J].Chin J Burns,2021,37(9):805-810.DOI: 10.3760/cma.j.cn501120-20210802-00264.

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Metabolic staging and nutritional treatment strategies of severely burned patients

doi: 10.3760/cma.j.cn501120-20210802-00264

Peng Xi^,

Clinical Medical Research Center, Institute of Burn Research, State Key Laboratory of Trauma, Burns and Combined Injury, 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 81971838

Major Clinical Research Foundation of the Third Military Medical University 2018XLC2006

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Corresponding author: Peng Xi, Email: pxlrmm@163.com
Received Date: 2021-08-02

Abstract

Abstract

The complexity of burn metabolism and limitations of its cognition are the core factors leading to dissatisfactory efficacy of nutritional therapy in severe burn patients. Precise understanding of burn metabolic rules is a prerequisite for improving the pertinence and effectiveness of nutritional therapy. The previous division of burn metabolic stages based on energy consumption did not pay enough attention to substance metabolism, so it is difficult to fully comprehend the overall change pattern and stage characteristics of burn metabolism. Through the effective integration of the metabonomics, physiomics, and clinical data, combining the pathophysiological characteristics of burns at different clinical phases, this paper suggested that the metabolism of severe burns should be divided into four stages and proposed the corresponding nutritional strategies and measures according to different metabolic characteristics, in order to provide a basis for further enhancing the nutritional efficacy in burn patients.
- Burns,
- Metabolism,
- Nutrition therapy,
- Parenteral nutrition,
- Enteral nutrition

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References(33)

References

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Metabolic staging and nutritional treatment strategies of severely burned patients

doi: 10.3760/cma.j.cn501120-20210802-00264

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Metabolic staging and nutritional treatment strategies of severely burned patients

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