CAJ | 학술논문

目的：探讨代谢车监测结果对指导危重症患者合理营养治疗的效果。方法将ICU患者中APACHE II评分＞5分的70例患者按数字表法分为观察组（按照静息能量消耗测定值进行营养治疗）和对照组（按照harris-benedict公式计算结果进行营养治疗），每组35例，将两组营养治疗情况进行对比分析。结果观察组患者经7d营养治疗后，血清白蛋白、总蛋白、上臂肌围三项指标较治疗第1天提高，差异均有统计学意义（均P＜0．05）。其中上臂肌围与对照组同时间比较差异有统计学意义（P＜0．05）。而血红蛋白、肱三头肌皮褶厚度与治疗第1天及对照组同时间比较，差异无统计学意义（P＞0．05）。结论按照静息能量消耗测定值进行营养治疗与按照harris-benedict公式进行营养治疗具相对好的效果。
목적：탐토대사차감측결과대지도위중증환자합리영양치료적효과。방법장ICU환자중APACHE II평분＞5분적70례환자안수자표법분위관찰조（안조정식능량소모측정치진행영양치료）화대조조（안조harris-benedict공식계산결과진행영양치료），매조35례，장량조영양치료정황진행대비분석。결과관찰조환자경7d영양치료후，혈청백단백、총단백、상비기위삼항지표교치료제1천제고，차이균유통계학의의（균P＜0．05）。기중상비기위여대조조동시간비교차이유통계학의의（P＜0．05）。이혈홍단백、굉삼두기피습후도여치료제1천급대조조동시간비교，차이무통계학의의（P＞0．05）。결론안조정식능량소모측정치진행영양치료여안조harris-benedict공식진행영양치료구상대호적효과。
Objective To evaluate the effect of proper nutritional therapy guided by indirect caloimetry . Methods According to the digitaltable ,70 critically ill patients whose APACHE II >5 were randomly divided into oberserving ( nutritional therapy guided by indirect caloimetry ) and control groups ( nutritional therapy guided by harris-benedict formula),each group 35 cases.The results of nutrition support were analysed .Results TP,MAMC,ALB were higher than that before treatment in oberserving group (all P<0.05),the MAMC was also higher than that in control groups(P<0.05).There was no significant difference in Hb and TSF after treatment IN oberserving group (all P>0.05).Conclusion The nutritional therapy guided by indirect caloimetry by harris-benedict formula have the some nutritional effect in critically ill patients .