摘要
对75例烧伤病员静息能量消耗(REE)与住院条件下热卡摄入情况的调查结果显示:烧伤面积小于30%的病员通过口服已能满足机体需要,无需给予特别的营养治疗;烧伤面积为30%～50%的病员伤后早期热卡摄入不足,营养治疗的重点应放在伤后2周以内;烧伤面积为50%～70%和大于70%这两组病员伤后热卡摄入量明显不足,是营养治疗的重点。后者尤为重要。
In order to understand the relation of energy intake and expenditure after burn. calorie intake and resting energy expenditure of 75 burn adults with 5～98%TBSA (Total Body Surface Area) were investigated from PBD1 (Postburn Day )to PBD28. Results were as follows , 1. Burn adults with <30%TBSA could acquire enough calorie by oral intake only, it was not necessary for them to receive special nutritional treatment; 2. Patients with 30～50%TBSA should be given extra calorie supplement during PBD1～14, because they could not get sufficient energy by oral intake only during this period; 3. It was very necessary to give patients with 50%TBSA, especially>70%TBSA active calorie supplement, because the calorie taken by oral route during PBD1～PBD28 was not enough to satisfy the need of burn metabolism
