Liu M H, Spungen A M, Fink L, Losada M, Bauman W A
Adv Wound Care. 1996 May-Jun;9(3):41-5.
Health individuals with quadriplegia generally have a reduced metabolic rate. However, individuals with quadriplegia who develop pressure ulcers may have an elevated metabolic rate. In this study, energy expenditure in 16 individuals with quadriplegia and pressure ulcers (PU-QUAD) was compared to the energy expenditure in 16 individuals with quadriplegia but no pressure ulcers (NPU-QUAD) and 16 healthy non-spinal cord injured subjects (controls). Resting energy expenditure (REE) was measured by indirect calorimetry. Both measured REE (t(30) = 2.38, p = 0.24) and percent predicted REE (t(30) = 3.23, p = .003) were significantly higher in subjects with quadriplegia and pressure ulcers compared with subjects with quadriplegia but no pressure ulcers. On average, REE in the PU-QUAD subjects was nearly equal to the absolute energy expenditure of healthy non-spinal cord injured controls. To ensure optimal care of patients with quadriplegia and pressure ulcers, quantification of energy expenditure with provision of adequate caloric intake is recommended.
健康的四肢瘫痪患者通常代谢率会降低。然而，患有压疮的四肢瘫痪患者代谢率可能会升高。在本研究中，将16名患有四肢瘫痪和压疮的患者（PU - QUAD）的能量消耗与16名患有四肢瘫痪但无压疮的患者（NPU - QUAD）以及16名健康的非脊髓损伤受试者（对照组）的能量消耗进行了比较。静息能量消耗（REE）通过间接测热法测量。与患有四肢瘫痪但无压疮的患者相比，患有四肢瘫痪和压疮的患者的实测REE（t(30) = 2.38，p = 0.24）和预测REE百分比（t(30) = 3.23，p = 0.003）均显著更高。平均而言，PU - QUAD组患者的REE几乎与健康的非脊髓损伤对照组的绝对能量消耗相等。为确保对四肢瘫痪和压疮患者的最佳护理，建议通过提供充足的热量摄入来量化能量消耗。
