頁籤選單縮合
題 名 | 間接卡路里測定儀應用於重症病人的營養評估=Indirect Calorimetry Application in Nutritional Assessment for Critically Ill Patients |
---|---|
作 者 | 林玫君; 周蘭娣; 蕭秀鳳; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 15:2 2016.07[民105.07] |
頁 次 | 頁65-74 |
分類號 | 419.73 |
關鍵詞 | 能量消耗; 間接卡路里測定儀; 重症病人; 營養評估; Energy expenditure; Indirect calorimetry; Critically ill patients; Nutritional assessment; |
語 文 | 中文(Chinese) |
中文摘要 | 加護病房重症病人因疾病需求經常合併呼吸器的支持,治療的過程消耗著病人大量的營養,伴隨著疾病的改善又必須脫離呼吸器,因此疾病的不同階段,不同的營養支持與供應是很重要的。目前大部份病人的營養評估與補充,多由營養師依據公式計算得知,但是對於病情變化較大或肥胖的病人,則建議以間接卡路里測定儀測量能量消耗並得到適當的營養支持處方。臨床以間接方式測量能量消耗逐漸被重視,且有呼吸器內設間接卡路里測定儀,利用呼吸器提供重症病人呼吸系統支持,同時監測量能量消耗,做為營養需求與呼吸器脫離之參考。本文深入探討重症病人營養需求與呼吸影響、能量消耗的測量、呼吸器內建間接卡路里測定儀、以及其臨床應用與正確操作,以提供準確的數據與穩定的品質量測,以增進重症病人呼吸照護的成效。 |
英文摘要 | Nutrition support and supply is essential for ventilated patients in the ICU. Usually, the nutritional assessment and supplements according to predictive equations develop nutrition regimens by dietitians, but it's often variable and unpredictable for obesity or condition unstable patients. Therefore, indirect calorimetry measurement was recommended an accurate measurement of resting energy expenditure and facilitates optimal energy prescription. Recently, the advance ventilator with an optional indirect calorimetry, the equipment can provide the optimize benefits of nutrition support and monitoring during ventilator weaning process in ICU ventilated patients by respiratory therapist. However, obtain high-quality data by the indirect calorimetry, must have cognizant the variety influence of measurement and actucelly evaluation is not well clear. Thus, this review provided indirect calorimetry implement practice guideline and assessment energy expenditure, then improved outcomes for ventilator patients. |
本系統中英文摘要資訊取自各篇刊載內容。