Haugen Heather A, Chan Lingtak-Neander, Li Fanny
University of Colorado Health Sciences Center, School of Medicine, Denver, Colorado, USA.
Nutr Clin Pract. 2007 Aug;22(4):377-88. doi: 10.1177/0115426507022004377.
This review provides clinicians with a comprehensive overview of indirect calorimetry including the principles, methodology, technologic advancements, benefits, and challenges. Clinical applications for indirect calorimetry and the potential limitations are specifically addressed for both the inpatient and outpatient setting. Measurement of energy expenditure is the most accurate method to assess energy needs. Indirect calorimetry remains a gold standard in measuring energy expenditure in the clinical settings. The benefits of providing optimal nutrition for recovery from illness and chronic health management are well documented. Indirect calorimetry offers a scientifically-based approach to customize a patient's energy needs and nutrient delivery to maximize the benefits of nutrition therapy. With recent advances in technology, indirect calorimeters are easier to operate, more portable, and affordable. Increased utilization of indirect calorimetry would facilitate individualized patient care and should lead to improved treatment outcomes.
本综述为临床医生提供了间接测热法的全面概述，包括原理、方法、技术进步、益处和挑战。针对住院和门诊环境，特别讨论了间接测热法的临床应用及潜在局限性。能量消耗的测量是评估能量需求的最准确方法。间接测热法仍是临床环境中测量能量消耗的金标准。为疾病康复和慢性健康管理提供最佳营养的益处已有充分记录。间接测热法提供了一种基于科学的方法来定制患者的能量需求和营养供给，以最大限度地提高营养治疗的益处。随着技术的最新进展，间接测热仪操作更简便、更便携且价格更实惠。间接测热法利用率的提高将有助于个性化患者护理，并应能改善治疗效果。
