耿博 胡宁治

    摘 要 目的：分析先天性心脏病患儿术后机械通气静息能量消耗(REE)及其影响因素。方法：回顾性分析本院163例先天性心脏病术后患儿的临床资料，经代谢车检测患儿术后3 h时的REE及统计学分析临床因素对患儿术后REE的影响。结果：采用间接测热法检测非蛋白呼吸商为0.81±0.23，REE实测值为(262.85±59.88)kJ/(kg·d)，与Schofield公式估算值(276.99±63.25)kJ/(kg·d)比较差异无统计学意义(P>0.05)。多元逐步回归分析显示年龄与REE实测值具有负相关关系，先天性心脏病风险校正评分(RACHS-1)与REE实测值具有正相关关系(P<0.05)。术后24 h摄入能量超过REE实测值有5例(3.07%)，低于REE实测值有158例(96.93%)。结论：先天性心脏病患儿术后REE的影响因素包括年龄和RACHS-1评分等，且多数患儿术后早期能量的摄入低于REE。

    关键词 先天性心脏病 静息能量消耗 间接测热法 影响因素 儿童

    中图分类号：R726.1 文献标志码：A 文章编号：1006-1533(2022)07-0054-04

    引用本文 耿博， 胡宁治. 先天性心脏病患儿术后机械通气REE及其影响因素分析[J]. 上海医药， 2022， 43(7)： 54-57； 65.

    Analysis of postoperative mechanical ventilation REE and its influencing factors in children with congenital heart disease

    GENG Bo， HU Ningzhi

    (Department of Cardiac Surgery， the Seventh People’s Hospital of Zhengzhou， Zhengzhou 450016， China)

    ABSTRACT Objective： To analyze mechanical ventilation rest energy expenditure (REE) and its influencing factors in children with congenital heart disease. Methods： The clinical data from 163 children with congenital heart disease after operation were retrospectively analyzed. The REEs were detected by metabolic car at 3 h after operation. The influence of clinical factors on the REEs was statistically analyzed. Results： The non-protein respiratory quotient was 0.81±0.23 by indirect calorimetry ......