Studie of changes of resting energy expenditure regularities in Chinese burn adults / 医学研究生学报

ABSTRACT

Objective:To study the changes of energy expenditure regularities in Chinese burn adults.Methods:The resting energy expenditure(REE) was observed in 75 burn adults. Results: Burn metabolism can be divided into a slow-rise stage and a sharp-rise stage.The extent of respose and lasting time in hypermetabolism were proportional to the magnitude of total body surface area(TBSA).The peak level of REE may be 1.5-2.0 times as high as control.Even after the wound healing higher level of REE may lasts for a longer period,especially in severe burns.In case of sustaining lower REE and/or shart drop of REE are observed,the outcome is usually poor.After burning,the catabolism of protein is obviously increased,the utilization of glucose is decreasd,and the mobilization and utilization of lipid are markedly increased.Conclusion:The changes of energy expenditure regularities in Chinese burn adults are showed,the nutrition treatment should be actively given in severe burn patients.