Email Alerts
RSS
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Peng Xi,Su Sen.Emphasizing the early diagnosis and intervention of malnutrition in burn patients[J].Chin J Burns Wounds,2026,42(11):1-7.DOI: 10.3760/cma.j.cn501225-20261008-00386.
Citation: Peng Xi,Su Sen.Emphasizing the early diagnosis and intervention of malnutrition in burn patients[J].Chin J Burns Wounds,2026,42(11):1-7.DOI: 10.3760/cma.j.cn501225-20261008-00386.
shu

Emphasizing the early diagnosis and intervention of malnutrition in burn patients

doi: 10.3760/cma.j.cn501225-20261008-00386
  • 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
  • Received Date: 2026-10-08
    Available Online: 2026-10-30
    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.

     

    • FullText(HTML)
  • loading
    • References(39)
  • [1]
    WeimannA,BezmarevicM,BragaM,et al.ESPEN guideline on clinical nutrition in surgery - update 2025[J].Clin Nutr,2025,53:222-261.DOI: 10.1016/j.clnu.2025.08.029.
    [2]
    于恺英,杨韵,石汉平.全球领导人营养不良倡议(GLIM)标准及其推广应用[J].营养学报,2020,42(3):209-214.DOI: 10.3969/j.issn.0512-7955.2020.03.001.
    [3]
    CederholmT,BosaeusI,BarazzoniR,et al.Diagnostic criteria for malnutrition - An ESPEN Consensus Statement[J].Clin Nutr,2015,34(3):335-340.DOI: 10.1016/j.clnu.2015.03.001.
    [4]
    CederholmT,JensenGL,CorreiaM,et al.GLIM criteria for the diagnosis of malnutrition - a consensus report from the global clinical nutrition community[J].Clin Nutr,2019,38(1):1-9.DOI: 10.1016/j.clnu.2018.08.002.
    [5]
    于健春.重视外科患者的营养风险与全程营养管理[J].中华普通外科杂志,2024,39(3):161-165.DOI: 10.3760/cma.j.cn113855-20231130-00381.
    [6]
    中华医学会烧伤外科学分会,《中华烧伤与创面修复杂志》编辑委员会.成人烧伤营养治疗专家共识 (2026版)[J].中华烧伤与创面修复杂志,2026,42(11):1-25. DOI: 10.3760/cma.j.cn501225-20260717-00263.
    [7]
    KondrupJ,AllisonSP,EliaM,et al.ESPEN guidelines for nutrition screening 2002[J].Clin Nutr,2003,22(4):415-421.DOI: 10.1016/s0261-5614(03)00098-0.
    [8]
    糜漫天,蔡东联.军事营养医学[M].北京:人民军医出版社,2015:572-573.
    [9]
    韩春茂,张莉萍,吴攀.从理论到实践浅论严重烧伤患者的精准营养支持[J].中华烧伤与创面修复杂志,2022,38(8):701-706.DOI: 10.3760/cma.j.cn501225-20220517-00189.
    [10]
    浙江省医师协会营养医师专业委员会,浙江省临床营养中心,浙江省医学会肠外肠内营养学分会,等. 营养风险筛查疾病严重程度评分专家共识[J].浙江医学,2022,44(13):1351-1355,1361.DOI: 10.12056/j.issn.1006-2785.2022.44.13.2022-958.
    [11]
    WełnaM,AdamikB,KüblerA,et al.The NUTRIC score as a tool to predict mortality and increased resource utilization in intensive care patients with sepsis[J].Nutrients,2023,15(7):1648.DOI: 10.3390/nu15071648.
    [12]
    JeongDH,HongSB,LimCM,et al.Comparison of accuracy of NUTRIC and Modified NUTRIC scores in predicting 28-day mortality in patients with sepsis: a single center retrospective study[J].Nutrients,2018,10(7):911.DOI: 10.3390/nu10070911.
    [13]
    MaZ,ZhangY,ZhangQ,et al.Modified Nutrition Risk in Critically ill is an effective nutrition risk screening tool in severely burned patients, compared with Nutrition Risk Screening 2002[J].Front Nutr,2022,9:1007885.DOI: 10.3389/fnut.2022.1007885.
    [14]
    Alfonso OrtizL,JiangX,TurgeonAF,et al.Validation of the modified NUTrition Risk Score (mNUTRIC) in mechanically ventilated, severe burn patients: a prospective multinational cohort study[J].Burns,2021,47(8):1739-1747.DOI: 10.1016/j.burns.2021.05.010.
    [15]
    Caldis-CoutrisN,GawaziukJP,MagnussonS,et al.Malnutrition in burns: a prospective, single-center study[J].J Burn Care Res,2022,43(3):592-595.DOI: 10.1093/jbcr/irab186.
    [16]
    TrujilloEB,KadakiaKC,ThomsonC,et al.Malnutrition risk screening in adult oncology outpatients: an ASPEN systematic review and clinical recommendations[J].JPEN J Parenter Enteral Nutr,2024,48(8):874-894.DOI: 10.1002/jpen.2688.
    [17]
    中华医学会重症医学分会.中国成人ICU患者营养评估与监测临床实践指南[J/OL]. 中华重症医学电子杂志,2023,9(4):321-348[2026-10-08].https://rs.yiigle.com/cmaid/1563710.DOI: 10.3877/cma.j.issn.2096-1537.2023.04.001.
    [18]
    BuckinxF,LandiF,CesariM,et al.Pitfalls in the measurement of muscle mass: a need for a reference standard[J].J Cachexia Sarcopenia Muscle,2018,9(2):269-278.DOI: 10.1002/jcsm.12268.
    [19]
    Cruz-JentoftAJ,BahatG,BauerJ,et al.Sarcopenia: revised European consensus on definition and diagnosis[J].Age Ageing,2019,48(1):16-31.DOI: 10.1093/ageing/afy169.
    [20]
    ShenW,PunyanityaM,WangZ,et al.Total body skeletal muscle and adipose tissue volumes: estimation from a single abdominal cross-sectional image[J].J Appl Physiol (1985),2004,97(6):2333-2338.DOI: 10.1152/japplphysiol.00744.2004.
    [21]
    李利根,柴家科.肢体高压电烧伤软组织及血管损伤的影像学判断及临床意义[J].中华烧伤杂志,2020,36(11):1009-1012.DOI: 10.3760/cma.j.cn501120-20190904-00371.
    [22]
    VencoR,ArtaleA,FormentiP,et al.Methodologies and clinical applications of lower limb muscle ultrasound in critically ill patients: a systematic review and meta-analysis[J].Ann Intensive Care,2024,14(1):163.DOI: 10.1186/s13613-024-01395-y.
    [23]
    PradoRI,TanitaMT,CardosoL,et al.Ultrasound-based evaluation of loss of lean mass in patients with burns: a prospective longitudinal study[J].Burns,2023,49(8):1900-1906.DOI: 10.1016/j.burns.2023.04.004.
    [24]
    PolychronopoulouE,HerndonDN,PorterC.The long-term impact of severe burn trauma on musculoskeletal health[J].J Burn Care Res,2018,39(6):869-880.DOI: 10.1093/jbcr/iry035.
    [25]
    ClarkA,ImranJ,MadniT,et al.Nutrition and metabolism in burn patients[J/OL].Burns Trauma,2017,5:11[2026-10-08].https://pubmed.ncbi.nlm.nih.gov/28428966/.DOI: 10.1186/s41038-017-0076-x.
    [26]
    王小亭,刘大为,于凯江,等.中国重症超声专家共识[J].临床荟萃,2017,32(5):369-383.DOI: 10.3969/j.issn.1004-583X.2017.05.001.
    [27]
    尹朱丹,王昱,镇坷,等.早期低热量肠内营养对危重症患者预后影响的Meta分析[J/OL].中华危重症医学杂志(电子版),2023,16(3):215-222[2026-10-08].https://rs.yiigle.com/cmaid/1566805.DOI: 10.3877/cma.j.issn.1674-6880.2023.03.007.
    [28]
    崔红元,朱明炜,陈伟,等.中国老年住院患者营养状态的多中心调查研究[J].中华老年医学杂志,2021,40(3):364-369.DOI: 10.3760/cma.j.issn.0254-9026.2021.03.019.
    [29]
    潘艳艳,徐思达,范友芬,等.特重度烧伤患者早期肠内营养不耐受的危险因素分析[J].中华烧伤杂志,2021,37(9):831-838.DOI: 10.3760/cma.j.cn501120-20210511-00180.
    [30]
    SuS,ZhangY,WuD,et al.1H-nuclear magnetic resonance analysis reveals dynamic changes in the metabolic profile of patients with severe burns[J/OL].Burns Trauma,2024,12:tkae007[2026-10-08].https://pubmed.ncbi.nlm.nih.gov/38756185/.DOI: 10.1093/burnst/tkae007.
    [31]
    罗月,黎宁.严重烧伤患者早期肠内营养治疗的研究进展[J].中华烧伤杂志,2021,37(9):880-884. DOI: 10.3760/cma.j.cn501120-20210621-00223.
    [32]
    中华医学会烧伤外科学分会,中国医疗保健国际交流促进会烧伤医学分会.成年严重烧伤患者肠内营养护理专家共识(2024版)[J].中华烧伤与创面修复杂志,2024,40(9):801-811.DOI: 10.3760/cma.j.cn501225-20240229-00078.
    [33]
    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.
    [34]
    StewartBT,PhamT,CancioL,et al.Higher energy delivery is associated with improved long-term survival among adults with major burn injury: a multicenter, multinational, observational study[J].J Trauma Acute Care Surg,2024,97(5):812-821.DOI: 10.1097/TA.0000000000004432.
    [35]
    WangZE,ZhengJJ,Bin FengJ,et al.Glutamine relieves the hypermetabolic response and reduces organ damage in severe burn patients: a multicenter, randomized controlled clinical trial[J].Burns,2022,48(7):1606-1617.DOI: 10.1016/j.burns.2021.12.005.
    [36]
    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.
    [37]
    SingerP,BlaserAR,BergerMM,et al.ESPEN practical and partially revised guideline: clinical nutrition in the intensive care unit[J].Clin Nutr,2023,42(9):1671-1689.DOI: 10.1016/j.clnu.2023.07.011.
    [38]
    ReignierJ,Gaillard-Le RouxB,DequinPF,et al.Expert consensus-based clinical practice guidelines for nutritional support in the intensive care unit: the French Intensive Care Society (SRLF) and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP)[J].Ann Intensive Care,2025,15(1):99.DOI: 10.1186/s13613-025-01509-0.
    [39]
    ReignierJ,Boisramé-HelmsJ,BrisardL,et al.Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)[J].Lancet,2018,391(10116):133-143.DOI: 10.1016/S0140-6736(17)32146-3.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (40) PDF downloads(8) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return