nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”nmp-296Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREСОВРЕМЕННЫЕ ВОЗМОЖНОСТИ СНИЖЕНИЯ ИНТЕНСИВНОСТИ ГИПЕРМЕТАБОЛИЗМА ПРИ ТЯЖЕЛОЙ ТЕРМИЧЕСКОЙ ТРАВМЕ (ОБЗОР ЛИТЕРАТУРЫ)RECENT ADVANCES OF HYPERMETABOLIC RESPONSE MODULATION IN SEVERE THERMAL TRAUMAИльинскийМ. Е.IlynskyM. Y.

Ильинский Максим Евгеньевич - научный сотрудник отделения лечения острых  эндотоксикозов

tribusverbis@gmail.comЛященкоЮ. Н.LyashchenkoY. N.РыкА. А.RykA. A.БочаровД. Э.BocharovD. E.Научно-Исследовательский институт Скорой Помощи имени Н.В. Склифосовского, МоскваРоссияN.V. Sklifosovsky Researh Institute for Emergency Medicine, MoscowRussian Federation201623092016035564Copyright © Ильинский М.Е., Лященко Ю.Н., Рык А.А., Бочаров Д.Э., 20162016Ильинский М.Е., Лященко Ю.Н., Рык А.А., Бочаров Д.Э.Ilynsky M.Y., Lyashchenko Y.N., Ryk A.A., Bocharov D.E.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/296

В обзоре освещены ключевые аспекты комплексного подхода к модулированию гиперметаболического ответа, позволяющего улучшить результаты лечения пострадавших с тяжелой ожоговой травмой — фармакологические и нефармакологические методы,  раннее энтеральное  питание и дополнительное  назначение  микронутриентов, ранняя  реабилитация  пациентов, индивидуальная оценка потребностей больного в питательных веществах и контроль адекватности проводимой терапии.

The review focuses on key aspects  of complex hypermetabolic response modulation which improve treatment outcomes  in patients with severe thermal  trauma: pharmacologic and non-pharmacologic approaches, early enteral feeding and micronutrients, physiatrics, estimation of individual nutritional requirements and monitoring  of the nutritional support  adequacy.

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The authors declare that there are no conflicts of interest present.