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目的 测定烫伤患儿静息能量消耗 ,为临床营养支持能量估算提供依据。方法 选择 1～ 4岁年龄组2 0例 °烫伤、面积 8%～ 35 %的幼儿作为研究对象。用间接热卡仪 ,在烫伤后 1～ 14天内进行 34次静息能量消耗(resting energy expenditure,REE)的测定 ,并与同年龄组 12 7例正常儿童 REE值做对比。结果 烫伤患儿 REE为2 72 .3± 48.49(k J· kg- 1 / 2 4h)。统计分析表明 ,烫伤组 REE较 12 7例正常组 2 43.5 5± 35 .44 (k J· kg- 1 / 2 4h)有显著性差异 (P=0 .0 0 2 ) ,约为正常组的 1.12倍。REE亦与烫伤面积呈正相关。结论 临床上对 °烫伤患儿确有必要进行营养干预。
Objective To determine resting energy expenditure in children with scald and provide basis for clinical nutritional support energy estimation. Methods 20 children aged 1 ~ 4 years old scald, 8% ~ 35% of the area were selected as the research object. Using indirect thermocalorimetry, resting energy expenditure (REE) was measured 34 times within 1 to 14 days after scald and compared with REE values of 12 7 normal children in the same age group. Results The REE of scalded children was 723.3 ± 48.49 (kJ · kg -1/224h). Statistical analysis showed that there was a significant difference (P = 0.002) between REE in scald group and 1243.5 ± 35.44 (kJ · kg -1/224h) in normal control group 1.12 times. REE also has a positive correlation with burn area. Conclusion There is a clinical need for nutritional intervention in children with scald.