Peng X
State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.
Zhonghua Shao Shang Za Zhi. 2019 May 20;35(5):321-325. doi: 10.3760/cma.j.issn.1009-2587.2019.05.001.
Nutrition therapy represents one of the most important parts of burn comprehensive treatment and plays a key role in severe burn care, but its curative effect needs to be further improved. With the deepening understanding of body metabolic rules after burn injury, the principle and method of nutrition therapy have been changed. On the one hand, nutrition therapy needs to adapt to the metabolic change post burn. On the other hand, nutrition should regard regulating body metabolism, protecting organ function, and maintaining internal environment stability as the core goals. Hence, some key points such as energy supplement, nutritional opportunity, and nutrition pathway need to be adjusted, in order to improve nutrition efficacy and patient prognosis.
营养治疗是烧伤综合治疗的重要组成部分之一,在严重烧伤救治中发挥着关键作用,但其疗效仍有待进一步提高。随着对烧伤后机体代谢规律认识的不断深入,营养治疗的原则和方法也发生了改变。一方面,营养治疗需要适应烧伤后的代谢变化。另一方面,营养应以调节机体代谢、保护器官功能和维持内环境稳定为核心目标。因此,需要调整能量补充、营养时机和营养途径等关键点,以提高营养疗效和患者预后。