住院危重机械通气儿童的能量代谢及供给状况研究

发布时间：2018-06-11 12:33

  本文选题：能量代谢 + 能量供给　； 参考：《重庆医学》2017年26期

【摘要】：目的探讨机械通气危重儿童的能量代谢及供给状况。方法选取2014年1月至2015年12月海南省农垦总医院收治的156例机械通气危重患儿为研究对象,采用床旁间接能量测定仪测定静息能量消耗(REE),采用Shofield-HTWT公式计算患儿REE的预计值,通过二者之比来评估该患儿的能量代谢状态。计算所有患儿的实际供给的能量及所需的摄入能量(REE实际值的1.1倍),通过二者之比来评估该患儿的能量供给状况。比较不同性别、年龄、疾病类型(内科疾病、外科术后)患儿的能量代谢状态及能量供给状况。结果156例危重患儿中低、正常、高能量代谢状态者分别有82例(52.6%)、21例(13.5%)、53例(34.0%),能量供给不足、正常、过度者分别有51例(32.7%)、71例(45.5%)、34例(21.8%)。不同性别患儿的能量代谢及供给状况比较差异无统计学意义(P0.05)。不同年龄组、疾病类型患儿的能量代谢状态比较差异有统计学意义(P0.05)。结论行机械通气的危重患儿以低能量代谢状态多见,年龄较大、内科疾病的患儿更容易出现低代谢状态,且能量供给的总体状况不甚理想,需要个体化给予营养支持。
[Abstract]:Objective to investigate the energy metabolism and supply of mechanical ventilation critical children. Methods 156 critically ill children with mechanical ventilation were selected from January 2014 to December 2015 in Hainan Agricultural Reclamation General Hospital. The resting energy consumption (REE) was measured by bed side indirect energy meter, and the predicted value of REE was calculated by Shofield-HTWT formula. The energy metabolism of the child was evaluated by the ratio of the two. The actual energy supply and the required energy intake were calculated 1.1 times of the actual value of REE in all children, and the energy supply status was evaluated by the ratio of the two values. The energy metabolism and energy supply of children with different sex, age, disease type (internal diseases, postoperative surgery) were compared. Results among 156 critically ill children with moderate, normal and high energy metabolism, there were 82 cases (52.6%) and 21 cases (13.5%), 53 cases (34.0%). The energy supply was insufficient, normal, and excessive (51 cases), 71 cases (45.5%) and 34 cases (21.8%), respectively. There was no significant difference in energy metabolism and energy supply among different genders (P 0.05). There were significant differences in energy metabolism status among different age groups and disease types (P 0.05). Conclusion low energy metabolism is more common in the critically ill children undergoing mechanical ventilation, and the patients with medical diseases are more likely to have low metabolic state, and the overall energy supply is not satisfactory, so individualized nutritional support is needed.
【作者单位】： 海南省农垦总医院儿科;海南医学院附属医院儿科;
【基金】：国家自然科学基金资助项目(81060016)
【分类号】：R720.597
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本文编号：2005261