Luo Y, Li N
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. 2021 Sep 20;37(9):880-884. doi: 10.3760/cma.j.cn501120-20210621-00223.
Severe burns can lead to persistent hypermetabolism. Studies have shown that early enteral nutrition therapy is related to improving the prognosis of severe burn patients, reducing the mortality rate, and reducing gastrointestinal complications and infectious complications. This article introduces the nutritional benefits and non-nutritive benefits of early enteral nutrition therapy for severe burn patients (maintaining the integrity of the intestinal mucosa function and structure and promoting wound healing), the timing and pathways of nutritional intervention, ways of energy evaluation, and nutritional monitoring, etc., aiming to provide a reference for the clinical decision-making of early enteral nutrition therapy.
严重烧伤可导致持续性高代谢。研究表明,早期肠内营养治疗与改善严重烧伤患者的预后、降低死亡率、减少胃肠道并发症和感染性并发症有关。本文介绍了早期肠内营养治疗对严重烧伤患者的营养益处和非营养益处(维持肠黏膜功能和结构的完整性以及促进伤口愈合)、营养干预的时机和途径、能量评估方法以及营养监测等,旨在为早期肠内营养治疗的临床决策提供参考。