[烧伤创面修复中的代谢问题与营养策略]
[Metabolic issues and nutritional strategies in burn wound repair].
作者信息
Peng X, Sun Yong
机构信息
Clinical Medical Research Center, Institute of Burn Research, State Key Laboratory of Trauma, Burns and Combined Injury, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.
Department of Burns and Plastic Surgery, the 71st Group Army Hospital of Army, Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou 221004, China.
出版信息
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Aug 20;38(8):707-713. doi: 10.3760/cma.j.cn501225-20220708-00288.
Wound is the most fundamental issue of burn injury, and its repair depends not only on effective wound treatment, but also on the good nutritional status of burned patients. Nutrition support is an important means to improve the nutritional status of patients and promote wound healing, and how to make it match the metabolism of burn wounds is a difficult task of nutrition therapy. In this paper, we analyzed the metabolic characteristics of different stages in burn wound healing, focused on the metabolic characteristics of glucose, protein, and glutamine in these stages, and proposed a nutritional strategy that is compatible with wound healing in order to maximize the role of nutrition therapy in wound repair.
创面是烧伤最基本的问题，其修复不仅取决于有效的创面处理，还依赖于烧伤患者良好的营养状况。营养支持是改善患者营养状况、促进创面愈合的重要手段，如何使其与烧伤创面的代谢相匹配是营养治疗的一项艰巨任务。本文分析了烧伤创面愈合不同阶段的代谢特点，重点关注这些阶段葡萄糖、蛋白质和谷氨酰胺的代谢特点，并提出了与创面愈合相适应的营养策略，以最大限度地发挥营养治疗在创面修复中的作用。
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