替代疗法对重症患者间接热量计的影响
Annalena Knoll1, Sirak Petros2, Bastian Pasieka1
1University Hospital Leipzig, Medical ICU, Leipzig, Germany.
European journal of clinical nutrition
|July 30, 2025
概括
置换疗法 (KRT) 在重症患者中不会显著改变间接热量计 (IC) 测量结果. 这项研究发现,与没有KRT的时期相比,在持续静脉血液透析 (CVVHD) 或慢延长每日透析 (SLEDD) 期间的能量消耗没有差异.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床营养学 临床营养学
背景情况:
- 置换疗法 (KRT) 在重症监护病房中很常见.
- 精确的能量消耗测量对于重症患者至关重要.
- 对于KRT对间接热量计 (IC) 的影响尚不清楚.
研究的目的:
- 研究持续静脉透析 (CVVHD) 和慢延长每日透析 (SLEDD) 对IC变量的影响.
- 为了确定KRT是否会影响重症患者的休息能量消耗测量.
主要方法:
- 一项前性研究,包括100名机械通风成年医疗患者,需要KRT治疗急性损伤.
- 对每个患者进行间接热量计两次:在KRT期间和KRT停止后.
- 在使用CVVHD或SLEDD和不使用CVVHD或SLEDD进行的测量之间比较IC变量.
主要成果:
- 在CVVHD或没有CVVHD的情况下,没有观察到静止能量消耗的显著差异 (p=0.75).
- 没有观察到与或没有SLEDD (p=0.63) 的静止能量消耗的显著差异.
- 测量IC的顺序 (在KRT前与之后) 并没有显著影响结果 (p=0.69).
结论:
- 在重症患者中,CVVHD或SLEDD的性能不会显著影响间接热量计测量.
- IC可可靠地用于评估KRT接受的重症患者的能量消耗.
- 研究结果支持继续使用IC用于该患者群体的营养管理.
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