公式测热法同间接测热法测定重症机械通气病人能量消耗的比较

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1、授予单位代码10089学号或申请号20122551H处(E钭大交HebeiMedicalUniversity硕士学位论文科学学位公式测热法同间接测热法测定重症机械通气病人能量消耗的比较研究生：董雪姣导师：赵鹤龄教授专业：急诊医学二级学院：河北省人民医院2015年3月学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医

2、科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研究生签名彼、二级学院领导盖章：河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名:目录中文摘要············································································

3、·1英文摘要·············································································4英文缩写·············································································8研究论文公式测热法与间接测热法测定重症机械通气病人能量消耗的比较前言······························································

4、···············9材料与方法····································································9结果·············································································13附图·············································································15附表········

5、·····································································17讨论·············································································20结论·············································································24参考文献·························

6、··············································24综述重症病人能量消耗测量方法的现状研究分析·······················28致谢···················································································37个人简历·············································································

7、38中文摘要公式测热法与间接测热法测定重症机械通气病人能量消耗的比较摘要目的：营养支持治疗已经成为和循环支持、呼吸支持并称的重症患者的三大支持手段。营养不良及营养过剩等在重症患者营养支持治疗中是常见的并发症，长时间营养支持的过量会导致多种并发症，如高脂血症、高糖血症、高胆固醇血症等，喂养不足会导致低蛋白血症等营养不良；即使短期内营养支持的过量或不足同样会对病人造成不良影响，因此，准确评估病人的营养需求是必要的。间接测热法(IndirectCalorimetry，IC)被认为是评估病人能量消耗(EnergyExpendi

8、ture，EE)的金标准，根据准确的评估可指导临床医师进行营养支持治疗，改善病人的预后。临床工作中通常采用的能量公式均源于国外资料，并均由非重症病人群体衍生而出，由于病人种族和生理状态的不同，根据公式计算的热量与重症病人的需求常存在很大差异，导致重症病人能量供给不足或过多。本研究通过与间接测热法对比，选取或推导与间接测热法接近的适