静息能量测定在儿童危重患者中的应用

Resting energy expenditure in critically ill children

静息能量是评估患者能量消耗的主要指标，而儿童危重患者的能量消耗易受多种因素影响，不同疾病状态下的静息能量消耗有所不同；目前，间接能量测定是衡量机体能量代谢的“金标准”，利用间接测热法可准确掌握患者的能量消耗，利于优化营养支持，提供个体化营养治疗。

Resting energy expenditure is the main indicator to assess energy consumption of patients. The energy expenditure of critically ill children can be influenced by many factors. Different states of diseases are followed by different values of resting energy expenditure. Right now, indirect calorimetry is the ＂golden standard＂ of measurement of energy metabolism. Indirect calorimetry can be used to accurately grasp energy expenditure of patients. And it is beneficial to optimization of nutrition support, also for individualized nutrition therapy.