严重烧伤患者早期肠内营养治疗的研究进展

Research advances on early enteral nutritional therapy in severe burn patients

严重烧伤会导致持续性的代谢亢进,研究显示尽早开展肠内营养治疗与改善严重烧伤患者预后、降低病死率、减少胃肠道并发症和感染性并发症等存在相关性。本文介绍了严重烧伤患者早期肠内营养治疗的营养益处及非营养益处(维持肠黏膜功能和结构的完整性及促进创面愈合)、营养治疗介入的时机和途径、能量评估方法及营养监测等,旨在为早期肠内营养治疗临床决策提供参考。

Severe burns can lead to persistent hypermetabolism.Studies have shown that early enteral nutrition therapy is related to improving the prognosis of severe burn patients,reducing the mortality rate,and reducing gastrointestinal complications and infectious complications.This article introduces the nutritional benefits and non-nutritive benefits of early enteral nutrition therapy for severe burn patients(maintaining the integrity of the intestinal mucosa function and structure and promoting wound healing),the timing and pathways of nutritional intervention,ways of energy evaluation,and nutritional monitoring,etc.,aiming to provide a reference for the clinical decision-making of early enteral nutrition therapy.