神经疾病机械通气病人的间接能量测定与经验能量估算比较

发布时间：2018-03-09 06:32

  本文选题：重症神经疾病　切入点：能量消耗　出处：《肠外与肠内营养》2016年04期 　论文类型：期刊论文

【摘要】：目的:通过间接能量测定值与经验能量估算值比较,为重症神经疾病病人提供合理能量供给依据。方法:纳入40例机械通气治疗的神经疾病危重症病人,采用间接能量测定法获得能量值,根据间接能量测定值偏离经验能量估算值程度分为能量接近组(偏离经验能量估算值≤15%)和能量偏离组(偏离经验能量估算值15%),分析两组病人能量值偏离的影响因素。结果:能量接近组19例,能量偏离组21例。两组单因素比较,年龄、BMI、脑卒中、脑炎、应用镇静肌松药等5个因素差异均有显著性统计学意义(P0.05)。经多因素Logistic回归分析后,仅病种分类中的脑炎为能量值偏离的独立影响因素(P=0.024)。结论:脑炎病人间接能量测定值明显偏离(高于)经验能量估算值,不适合采用经验能量估算法,其他病人间接能量测定值与经验能量估算值接近。
[Abstract]:Objective: to provide a reasonable basis for energy supply to patients with severe neurological diseases by comparing indirect energy measurement and empirical energy estimation. Methods: 40 patients with severe neurological diseases treated by mechanical ventilation were included in this study. The indirect energy measurement method was used to obtain the energy value. According to the degree of deviation from empirical energy, indirect energy measurement value is divided into two groups: energy approaching group (deviation empirical energy estimation 鈮，

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