在重症监护中测量能源消耗:对个性化营养支持的影响
Jiayang Chen1, Kay Choong See2
1Department of Medicine, National University Hospital, Singapore 119228, Singapore. jiayang_chen1997@live.com.
World journal of critical care medicine
|August 29, 2025
概括
精确的能量消耗 (EE) 测量对于重症患者至关重要. 虽然间接热量计是标准的,但更简单的预测方程提供了可访问性,而新技术则显示出前景.
科学领域:
- 危急护理医学
- 营养支持
- 代谢监测
背景情况:
- 精确的能量消耗 (EE) 测量对于重症患者的营养支持至关重要.
- 间接热量计 (IC) 是黄金标准,但在床边的可用性有限.
- 已经开发出各种预测方程和新的方法来估计EE.
研究的目的:
- 评估目前在重症监护中的EE测量方法.
- 专注于实际挑战,准确性,可行性和局限性.
- 讨论改善重症监护室 (ICU) 患者的营养支持策略.
主要方法:
- 综合文献搜索 (PubMed,EMBASE,2014年12月至2024年12月)
- 包括在重症患者群体中比较EE测量方法的研究.
- 根据PRISMA指南进行数据提取和质量评估,使用TRIPOD和PROBAST报告标准和偏差风险的工具.
主要成果:
- 分析了25项原始研究.
- 间接热量计仍然是EE测量的参考标准.
- 较不准确的预测方程更容易在床边实现.
结论:
- 每种EE测量方法都有不同的优点和缺点.
- 新兴技术显示出临床应用的潜力.
- 未来的研究应优先解决实际障碍并验证新的EE测量方法.
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