[1]赵海霞,肖 婷,胡 敏,等.基于肠内营养耐受性评估表的早期肠内营养支持对重症监护病房患者疾病治疗的价值研究[J].陕西医学杂志,2024,(5):637-640.[doi:DOI:10.3969/j.issn.1000-7377.2024.05.013]
　ZHAO Haixia,XIAO Ting,HU Min,et al.Value of early enteral nutrition support therapy for patients in intensive care unit based on enteral nutrition tolerance assessment sheet[J].,2024,(5):637-640.[doi:DOI:10.3969/j.issn.1000-7377.2024.05.013]
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基于肠内营养耐受性评估表的早期肠内营养支持对重症监护病房患者疾病治疗的价值研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年5期
页码:
637-640
栏目:
临床研究
出版日期:
2024-05-05

文章信息/Info

Title:
Value of early enteral nutrition support therapy for patients in intensive care unit based on enteral nutrition tolerance assessment sheet
作者:
赵海霞1; 肖 婷1; 胡 敏1; 余建美1; 李良鹏2
(1.南通大学附属肿瘤医院,江苏 南通 226361; 2.南京市第一医院胸外科,江苏 南京 210012)
Author(s):
ZHAO Haixia; XIAO Ting; HU Min; YU Jianmei; LI Liangpeng
(Tumor Hospital Affiliated to Nantong University,Nantong 226361,China)
关键词:
早期肠内营养;  肠内营养耐受性评估表;  重症监护病房;  喂养不耐受;  营养状况;  预后
Keywords:
Early enteral nutrition;  Enteral nutrition tolerance assessment sheet;  Intensive care unit;  Feeding intolerance;  Nutritional status;  Prognosis
分类号:
R 459.3
DOI:
DOI:10.3969/j.issn.1000-7377.2024.05.013
文献标志码:
A
摘要:
目的:探讨基于肠内营养耐受性评估表的早期肠内营养(EEN)支持对重症监护病房(ICU)患者疾病治疗的价值。方法:选取EEN支持治疗的ICU患者100例,根据数字表法随机分为对照组(50例)与观察组(50例)。对照组给予常规EEN治疗,观察组基于肠内营养耐受性评估表指导EEN治疗。比较两组喂养不耐受症状发生情况、EEN治疗后第4、7天的热卡达标率、干预前和干预7 d后营养状况指标以及预后指标。结果:观察组喂养不耐受症状总发生率低于对照组(P<0.05)。观察组第7天热卡达标率高于对照组(P<0.05)。干预7 d后,两组白蛋白、总蛋白较干预前升高,且观察组高于对照组(均P<0.05); 对照组血红蛋白较干预前降低,且观察组高于对照组(均P<0.05)。观察组总住院时间短于对照组(P<0.05)。结论:基于肠内营养耐受性评估表的EEN支持治疗能够减少ICU患者喂养不耐受症状的发生,改善营养状况,减少患者住院时间,有利于患者预后。
Abstract:
Objective:To investigate the value of early enteral nutrition(EEN)support therapy based on enteral nutrition tolerance assessment sheet for intensive care unit(ICU)patients.Methods: A total of 100 ICU patients receiving EEN supportive treatment were randomly divided into control group(50 cases)and observation group(50 cases)according to the numerical table method.The control group was given conventional EEN treatment,and the observation group was given EEN treatment guided by enteral nutrition tolerance assessment sheet.The occurrence of feeding intolerance symptoms,the rate of reaching the standard of heat calorie at the 4th and 7th day after EEN treatment,the nutritional status indicators before and after intervention for 7 days,and the prognosis indicators were compared between the two groups.Results: The total incidence of feeding intolerance symptoms in observation group was lower than that in control group(P<0.05).The hot calorie attainment rate of the observation group on the 7th day was higher than that of the control group(P<0.05).After 7 days of intervention,albumin and total protein in two groups were higher than before intervention,and observation group was higher than control group(all P<0.05).Hemoglobin in control group was lower than before intervention,and observation group was higher than control group(all P<0.05).The total hospitalization time of observation group was shorter than that of control group(P<0.05).Conclusion:EEN supportive treatment based on enteral nutrition tolerance assessment sheet in ICU patients can reduce the occurrence of feeding intolerance symptoms,improve nutritional status,reduce the length of hospital stay of patients,and is beneficial to the prognosis of patients.

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备注/Memo

备注/Memo:
基金项目:江苏省科技项目(BK20160132)
更新日期/Last Update: 2024-05-06