三医大烧伤营养公式临床疗效的观察

Clinical evaluation of the burn nutrition formula of the Third Military Medical College

32例烧伤面积>50％TBSA的成年病员分为营养组和对照组,前者按三医大烧伤营养公式“千焦耳(kJ)/d=4184(1000cal)×体表面积(m^2)+105(25cal)×烧伤面积(％),糖:脂肪:蛋白质=50～60:20～30:15～20,千焦耳:氮(g)=628～711(150～170cal):1”实施营养计划,后者为住院常规饮食,观察28d,结果显示营养组病员的营养状况明显优于对照组。

Thirty-two adult patients with burn wounds over 50% TBSA were randomized into the nutritioal and the control group.Energy supplement Ifor the patients of the nutritional group was given according to the burn nutrition formula of the Third Military Medical College as follows,Energy (kJ) /day=4184 (1000 cal)×body surface area (m2) +105 (25 cal)×burn surface area (%)glucose,fat:protein=55~60:20~30:15~20calorie (cal):nitrogen (g)=150~170:1The patients of the control were prescribed to eat the hospital diet freely.All the patients of the 2 groups were observed for 28 days postburn with their burn wounds similarly and properly treated.It was found that most of the nutritional indices observed were better in the nutritional group than in the control.