Lepape A, Gillibert R P, Perdrix J P, Grozel J M, Banssillon V
Service de réanimation, Centre hospitalier Lyon-Sud.
Agressologie. 1990 Jan;31(1):74-6.
The application of indirect calorimetry among intensive care patients is usually considered as a complicate technique, owing to the difficulties to interpret the bulk of obtained data. As a matter of fact, the variability of energy expenditure (EE) among these patients leads to prefer continuous measurements. This variability is related to interindividual variations as well as variations in the same patient (variations due to body temperature, activity state, diet-induced thermogenesis...). A computer program of data storage and calculations was developed. It allows: on-line storage as well as numerical and graphic display of VO2, VCO2, RQ and EE; menu-driven storage of all occurring events; automatic suppression of the recordings made after ventilator alarms; graphic printing and metabolic calculations. The two main indications for indirect calorimetry are the determination of actual EE and VO2 monitoring in acute states.
由于难以解读大量获取的数据,间接测热法在重症监护患者中的应用通常被视为一项复杂的技术。事实上,这些患者能量消耗(EE)的变异性使得连续测量更为可取。这种变异性与个体间差异以及同一患者的变化(由体温、活动状态、饮食诱导产热等引起的变化)有关。开发了一个数据存储和计算的计算机程序。它允许:在线存储以及VO2、VCO2、RQ和EE的数值和图形显示;菜单驱动存储所有发生的事件;自动删除呼吸机报警后进行的记录;图形打印和代谢计算。间接测热法的两个主要适应证是在急性状态下测定实际EE和监测VO2。