5营养

B Nurs, MPhil, PhD Charmaine Childs (Scientist, MRC Trauma Group (NWIRC), Honorary Research Fellow, Department of Child Health, University of Manchester)
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引用次数: 0

摘要

医院营养仍然是当代医学的一个主要问题。由于优先考虑紧急医疗程序,往往忽视了为危重病人和受伤病人提供食物的重要性。医院营养不良很常见,但可以预防。讨论了危重伤员喂养的重要性。根据过去10年来治疗方法的许多变化,对烧伤成人和儿童的能量和蛋白质需求进行了关键评估。描述了烧伤诱导的免疫抑制机制和营养/感染相互作用。考虑到喂养的途径和时间,以及它对保护肠道器官的重要性。最后,营养学的一个新兴分支现在对未来有了希望。对烧伤患者的饮食进行营养免疫调节,可提供改善免疫功能的手段,最终提高对感染的抵抗力。适合患者需要的早期肠内营养是烧伤患者首选的营养方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
5 Nutrition

Hospital nutrition continues to be a major problem in contemporary medicine. All too often the importance of feeding critically ill and injured patients is overlooked as emergency medical procedures take priority. Malnutrition in hospital is common but preventable. The importance of feeding the critically injured patient is discussed. A critical assessment of energy and protein requirements in burn-injured adults and children is given in the light of the many changes in treatment over the last 10 years. The mechanisms of burn-induced immunosuppression and the nutrition/infection interactions are described. The route and timing of feeding, and its importance in protecting the gut organ, are considered. Finally, there is now hope for the future in an emerging branch of nutrition. Nutritional immunomodulation of the diet of burn patients may provide the means to improve immune function and ultimately improve resistance to infection. Early enteral nutrition appropriate to the patients' requirements is the preferred method of nutrition for burns patients.

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