Clinical study of the effect of early enteral feeding on reducing hypermetabolism after server burns

作者: S Wang , Z You

DOI:

关键词: Resting energy expenditureProspective cohort studyUrinary catecholamineGastroenterologyParenteral nutritionSurgeryLean body massHypermetabolismInternal medicineClinical studyEnteral administrationMedicine

摘要: Hypermetabolism of burn patients is characterized by massive loss lean body mass and obvious decrease resistance. We evaluated the clinical effect early enteral feeding on its modulating hypermetabolism in severe patients. The REEs (resting energy expenditure) decreased 27.5%, 29.3%, 24.4% (average 27%) PBD4, 8, 14 respectively EFg (early group) than those DFg (delayed (P < 0.05-0.01). To compare with normal value, mean REE was 138.8% EFg, 160% DFg, difference between two groups significant 0.05). Plasma glucagon, cortisol urinary catecholamine markedly lowered serum insulin obviously increased at most timepoints as compared It indicated that could reduce after injury.

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