摘要
我们对23例烧伤病员10种急性期反应蛋白、安静状态下能量消耗(REE)、尿尿素氮(UUN)及儿茶酚胺等激素进行为期10天的观察。结果显示,急性期反应蛋白浓度变化与能量代谢有一定关系,其中 CRP、HP、a-AG 与能量代谢关系尤为密切,可作为预测伤后 REE 变化的辅助指标。
Burn Reseach Institute,Southwestern Hospital,Third Military Medical College,PLA. In order to delineate the relation between acute-phase reaction and burn metabolism,ten serum acute-phase reactive proteins,resting energy expenditure,some hormones and urine nitrogen were assayed in 23 adults with burn of 40%～60% TBSA immediately after the injury to the 10th day postburn. The results were as follows:①the levels of Palb,TF,FN anb CP were reduced immediately after burn.They were still lower than normal on PBD10;②The levels of a-AT, C3c and C4 were decreased slightly,then increased.They were already higher than normal on PBD10;③On PBD1,the levels of CRP,HP and a-AG were higher than normal,and then they continued to increase.They were directly proportional to REE and urine nitrogen. It was thought that some serum acute-phase reactive proteins were correlative with metabo- lism after burn.CPR,a-AG and HP could be used as referential indices to predict change in energy expenditure after burn.
