优化肠内营养喂养流程在ICU重症患者中的应用效果  

Effect of Optimizing Enteral Nutrition Feeding Process in ICU of Severe Patients

作　　者：邓丽萍 罗翊珠 张钫华 DENG Liping;LUO Yizhu;ZHANG Fanghua(Shunde Hospital,Guangzhou University of Traditional Chinese Medicine,Foshan Shunde District Traditional Chinese Medicine Hospital,Foshan 528300,China)

机构地区：[1]广州中医药大学顺德医院(广东佛山市顺德区中医院),广东顺德528300

出　　处：《中国医药指南》2021年第10期13-15,共3页Guide of China Medicine

摘　　要：目的探讨优化肠内营养喂养流程在ICU重症患者中的应用效果,以减少并发症的发生,促进患者的康复。方法选取2019年1~12月ICU接收的重症患者120例,将2019年1~6月接收的60例设为对照组,2019年7~12月接收的60例设为观察组。对照组患者采用常规喂养流程,观察组患者采取优化肠内营养喂养流程。对两组患者的营养指标、胃肠功能失调发生率及临床效果进行对比。结果两组患者在住院第1、3日的营养状况指标对比,差异无统计学意义(P>0.05);治疗1周后,观察组患者的营养状况指标明显优于对照组,组间差异有统计学意义(P<0.05)。观察组患者胃潴留、腹泻等胃肠功能失调发生率低于对照组,住院时间短于对照组,组间差异有统计学意义(P<0.05)。观察组患者呼吸机相关性肺炎、导管相关性血流感染及尿管相关尿路感染的发生率均低于对照组,差异有统计学意义(P<0.05)。结论优化肠内营养喂养流程可有效减少重症患者肠内营养相关并发症的发生,确保患者在恢复早期获得有效营养,促进患者的康复。Objective To explore the optimal enteral nutrition feeding procedure in ICU severe patients,so as to reduce complications and promote recovery.Methods Select 120 critically ill patients received in ICU from January 2019 to December 2019,60 patients received from January 2019 to June 2019 as the control group,and 60 patients received from July 2019 to December 2019 as the observation group.The control group adopted the routine feeding procedure,and the observation group adopted the optimized enteral nutrition feeding procedure.The nutritional index,the incidence of gastrointestinal dysfunction and the clinical effect of the two groups were compared.Results The nutritional status indicators of the two groups of patients on the first and third days of hospitalization were no statistically different(P>0.05);after one week of treatment,the nutritional status indicators of the observation group were significantly better than those of the control group,and there were statistical differences between the two groups(P<0.05).The incidence of gastrointestinal dysfunction such as gastric retention and diarrhea in the observation group was lower than that of the control group,and the hospitalization time was shorter than that of the control group,the difference between the groups was statistically significant(P<0.05).The incidence of ventilator-associated pneumonia,catheter-associated bloodstream infection and urinary catheter-associated urinary tract infection in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Optimizing the feeding process of enteral nutrition can effectively reduce the occurrence of enteral nutrition-related complications in critically ill patients,ensure that patients receive effective nutrition in the early recovery period,and promote the recovery of patients.

关 键 词：肠内营养 重症患者 喂养流程 康复 

分 类 号：R605.979[医药卫生—急诊医学]