Perioperative energy expenditure in children with congenital heart disease
10.3760/cma.j.issn.1673-4408.2017.11.004
- VernacularTitle:先天性心脏病患儿围手术期能量代谢影响因素研究进展
- Author:
Liqing XIE
1
Author Information
1. 200127,上海交通大学医学院附属上海儿童医学中心临床营养科
- Keywords:
Congenital heart disease;
Energy expenditure;
Children
- From:
International Journal of Pediatrics
2017;44(11):744-748
- CountryChina
- Language:Chinese
-
Abstract:
Congenital heart disease(CHD)is the most common congenital developmental defects in chil-dren,with an incidence ranging from 0.3% to 1% in China.Activity energy expenditure and food specific dy-namic effects caused by chronic continuous hypoxia can increase energy expenditure in children with congenital heart disease.Human body component changes and heart failure could also result in energy consumption in-crease,together with feeding deficiency due to oral sensory disorders and disrupted swallowing function,which lead to the increased incidence of malnutrition in children(up to 50%).Surgical trauma and related treatments will make significant metabolism change to the perioperative CHD children,and there has been a high prevalence of deteriorating nutritional status among them.Too much or too little perioperative energy intake are both unfa-vorable to children's clinical outcomes.Therefore,this study intends to review the influence factors of perinatal energy metabolism in children with CHD,to provide evidences of perioperative clinical nutritional support of children with CHD.
