烧伤临床营养新视角

New perspective on burn nutrition

营养治疗是烧伤综合救治的重要组成部分,在重症烧伤的治疗中发挥重要作用,但其疗效尚待进一步提高。随着对烧伤后机体代谢规律认识的不断深入,营养治疗的原则和措施发生了一些变化。一方面营养治疗应与烧伤后代谢改变相适应;另一方面营养要以调控机体代谢,保护脏器功能,维护内环境稳定为首要目标。为此,在能量供给、营养时机和营养途径等几个关键环节需进行相应调整,以期提高营养疗效,改善患者临床结局。

Nutrition therapy represents one of the most important parts of burn comprehensive treatment and plays a key role in severe burn care,but its curative effect needs to be further improved.With the deepening understanding of body metabolic rules after burn injury,the principle and method of nutrition therapy have been changed.On the one hand,nutrition therapy needs to adapt to the metabolic change post burn.On the other hand,nutrition should regard regulating body metabolism,protecting organ function,and maintaining internal environment stability as the core goals.Hence,some key points such as energy supplement,nutritional opportunity,and nutrition pathway need to be adjusted,in order to improve nutrition efficacy and patient prognosis.