危重患儿热能与蛋白质供给充分性与预后关系

Relationship between the sufficiency of calories and protein supply and the prognosis in critically ill children

危重患儿常存在营养代谢紊乱,且病情较重,常导致患儿的营养状况进一步恶化,从而影响疾病预后。对于危重患儿,营养状况不一,肌肉脂肪储备量较少,需要提供充分热能及蛋白质,但近年来有研究发现应激状态下,患儿能量需求并不多,因此如何选择恰当的热量及蛋白质的供给,仍然是目前所关注及值得探讨的话题。

The critically ill children often present nutritional and metabolic disorders, and have severe illness, which often leads to further deterioration of children＇ s nutritional status, affecting the prognosis of the disease. The critically ill children have different nutritional status and have less muscle fat reserves, so they need to be given adequate calories and pro- tein.But recent studies have found that the energy required for critically ill children under stress is not large, so how to choose the right calories and protein supply is our current concern which is worth exploring.