通过间接热量计来确定轻微烧伤后的能量需求:描述性队列研究
Anne-Françoise Rousseau1,2, Marjorie Fadeur3, Jean-Philippe Fauville1
1Department of Intensive Care and Burn Centre, University Hospital, University of Liège, Liège, Belgium.
JPEN. Journal of parenteral and enteral nutrition
|February 24, 2024
概括
轻微的烧伤可能会导致超能代谢,超过40%的患者表现出增加的能量需求. 它们的测量能量消耗往往超过实际的能量摄入量,突出了关键的营养差距.
科学领域:
- 对受伤的代谢反应.
- 营养科学 营养科学
- 烧伤护理 烧伤护理
背景情况:
- 轻微的烧伤可以诱导显著的超代谢状态.
- 了解能源消耗对于有效的患者管理至关重要.
研究的目的:
- 用间接热量计测量轻微烧伤的成人门诊患者的能量消耗 (mEE).
- 将mEE与预计的能源消耗 (eEE) 和实际的能源摄入量进行比较.
主要方法:
- 间接热量计 (Q-NRG) 用于确定49名成人门诊患者的mEE.
- 使用哈里斯-本尼迪克特和亨利公式计算估计的能源支出 (eEE).
- 每天的能量摄入量通过食物历史记录来评估.
主要成果:
- 42.9%的患者表现出高代谢 (氧气消耗≥3.5毫升/公斤/分钟).
- 测量的能源消耗是估计值的104%-108%.
- 实际的能源摄入量仅占测量的能源开支的71%.
结论:
- 显著比例的轻微烧伤患者经历过度代谢.
- 能量摄入量往往不足以满足这些患者的高代谢需求.
相关概念视频
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Constant Volume Calorimetry
27.1K
Calorimeters are useful to determine the heat released or absorbed by a chemical reaction. Coffee cup calorimeters are designed to operate at constant (atmospheric) pressure and are convenient to measure heat flow (or enthalpy change) accompanying processes that occur in solution at constant pressure. A different type of calorimeter that operates at constant volume, colloquially known as a bomb calorimeter, is used to measure the energy produced by reactions that yield large amounts of heat and...
27.1K
Constant Pressure Calorimetry
85.3K
Calorimetry is a technique used to measure the amount of heat involved in a chemical or physical process or to measure the heat transferred to or from a substance. The heat is exchanged with a calibrated and insulated device called the calorimeter. Calorimetry experiments are based on the assumption that there is no heat exchange between the insulated calorimeter and the external environment. The well-insulated calorimeters prevent the transfer of heat between the calorimeter and its external...
85.3K
Energy Balance
412
The human body gets energy from the three macronutrients: carbohydrates, proteins, and fats. Energy is released when the chemical bonds in the organic compounds present in the food are broken down. The energy content of food is measured in kilocalories (kcal), defined as the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. This value is determined by measuring the temperature change of the water surrounding a calorimeter after the complete...
412
Calorimetry
3.0K
When objects at different temperatures are placed in contact with each other but isolated from everything else, they attain thermal equilibrium. A container that prevents heat transfer in or out is called a calorimeter, and the use of a calorimeter to make measurements is called calorimetry. Generally, these measurements involve heat or specific heat capacity. The term "calorimetry problem" is used for any problem where the specified objects are thermally isolated from their...
3.0K


