机械通气患者营养支持应用探讨  

The application study of the critical patients with nutrition supporting using mechanical ventilation

作　　者：乌日娜[1] 杨敬平[1] 

机构地区：[1]内蒙古医学院第三附属医院呼吸与危重症科,包头014010

出　　处：《临床肺科杂志》2009年第11期1486-1487,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的比较机械通气的患者肠内与肠外营养的效果与优缺点。方法选择呼吸监护室的呼吸衰竭行机械通气患者60例,随机分为肠内营养组(治疗组n=30)与肠外营养组(对照组n=30)。治疗组给予瑞高,对照组给予一般静脉营养支持治疗。对比两组血气、营养指标变化、撤机、住ICU与营养支持时间和并发症发生情况。结果除住ICU时间治疗组短于对照组(P<0.05)外,其余指标两组无显著性差异。患者肠内与肠外营养一样可取得较好疗效,但肠内营养方便,并发症较轻,可缩短住ICU时间,是花费低、效果好的营养支持途径。Objective To compare the effectiveness, advantages and complications of enteral and parenteral nutrition in patients with respiratory failure who were treated with mechanical ventilation. Methods 60 patients with respiratory failure admitted to the respiratory intensive care unit and who needed mechanical ventilation were divided into two groups： the intestinal group （study group, n = 30） in which patients got nutrition support via nasogastric tube receiving Fresubin 750 MCT and the parenteral nutrition group （ control group n = 30 ） who were supported by venous nutrition after end tracheal intubation and initiation of mechanical ventilation. The data for the analysis included arterial blood gas nutritional parameter, duration of mechanical ventilation and length of stay at ICU, approaches of nutrition support, and complication of nutrition support. Results The duration of ICU stay was shorter in the study group than that in the control group （ P 〈 0. 05 ）. The group differences didnt show the significance on the measures of arterial blood gas analysis and other nutritional parameters, and duration of mechanical ventilation. Conclusion Enteral nutrition is effective as a parenteral nutrition in mechanically ventilated patients. It is rational, free of serious complications and it can shorter the duration of stay at ICU.

关 键 词：呼吸衰竭 机械通气 肠内营养 

分 类 号：R459.6[医药卫生—治疗学]