危重病患儿静息能量消耗研究进展

Progress of resting energy expenditure in critically ill children

静息能量消耗能较好地反映机体每天总能量消耗，是临床研究能量消耗的常用指标。机体在不同的生理或病理状态下，能量代谢特点也不同。危重病患儿由于机体对应激、创伤、手术、炎症的代谢反应不同，其能量消耗具有特殊性。危重病患儿的静息能量消耗还受到疾病类别、疾病的危重程度、呼吸机通气时间、呼吸机模式等影响。该文就近年来危重病患儿的静息能量消耗研究作一综述。

Resting energy expenditure （REE）, which can better reflect the total energy expenditure of human body, is the common index for researches about energy expenditure. Energy metabolism changes in different physiological or pathological conditions. Especially in critically ill children, energy expenditure is unique, which is the reslut of stress, trauma, operation and inflammation. Furthermore, the REE of critically ill children is affected by primary diseases, severity of the diseases, time of the mechanical ventilation, mode of ventilation and so on. This review aims to summarize the studies about the REE of critically ill children.