是否应朝着蛋白质-能量目标导向治疗的方向发展？
Toward protein-energy goal-oriented therapy?
机构信息
General Intensive Care Department, Rabin Medical Center, Sackler School of Medicine, Institute for Nutrition Research, Tel Aviv University, Kaplan Street, Petah Tikua 49100, Tel Aviv, Israel.
出版信息
Crit Care. 2009;13(5):188. doi: 10.1186/cc8042. Epub 2009 Oct 1.
Abstract
Protein calorie malnutrition is a concern in critically ill patients. Prospective studies to define the ideal calorie/protein intake to administer not only to meet requirements but also to change outcome are lacking. Strack van Schijndel and colleagues have observed an improvement in survival when patients reach the calorie target according to indirect calorimetry and a protein intake of greater than 1.2 g/kg per day. Their prospective observational study sheds new light on this field.
摘要
蛋白质能量营养不良是危重症患者关注的问题。目前尚缺乏前瞻性研究来确定理想的热量/蛋白质摄入量，不仅要满足需求，还要改变结局。Strack van Schijndel 及其同事观察到，当患者根据间接测热法达到热量目标和每天摄入大于 1.2 g/kg 的蛋白质时，其生存率有所提高。他们的前瞻性观察性研究为这一领域提供了新的视角。
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