基于容量的喂养策略对ICU重症患者临床预后的影响  

Effect of Volume-based Feeding Strategies on Clinical Outcomes of ICU Patients

作　　者：何燕燕 胡丽燕 朱虹 周萍萍 HE Yanyan;HU Liyan;ZHU Hong;ZHOU Pingping(Department of Intensive Care Medicine,The First People's Hospital of Fuyang District,Hangzhou 311400,Zhejiang Province,China)

机构地区：[1]杭州市富阳区第一人民医院重症医学科,杭州311400

出　　处：《中国实用乡村医生杂志》2023年第4期61-64,共4页Chinese Practical Journal of Rural Doctor

基　　金：2020年杭州市医药卫生科技计划项目,项目编号:B20200271。

摘　　要：目的 比较基于容量的喂养策略和基于速率的喂养策略对重症患者临床预后的影响。方法 选择2020年1月—2021年12月杭州市富阳区第一人民医院重症监护室(intensive care unit,ICU)收治的200例重症患者作为研究对象,随机分为对照组和观察组各100例。对照组采用基于速率的喂养策略,观察组采用基于容量的喂养策略。比较两组患者的能量摄入情况和营养指标变化情况。结果 经肠内营养支持治疗14 d后,观察组血清白蛋白和前白蛋白高于对照组,差异有统计学意义(P<0.05);观察组肠内热卡和蛋白质摄入量高于对照组,差异有统计学意义(P<0.05);观察组每日喂养中断时长低于对照组,目标喂养达标率高于对照组,差异有统计学意义(P<0.05);两组不良反应比较差异无统计学意义(P>0.05)。结论 基于容量的喂养策略较基于速率的喂养策略,能够进一步改善肠内营养实施期间频繁中断的问题和患者短期营养状况。Objective To compare the effects of volume-based feeding strategy and rate-based feeding strategy on the clinical prognosis of critical patients.Methods A total of 200 cases of critical patients admitted to the intensive care unit(ICU)of The First People's Hospital from January 2020 to December 2021 were selected and divided into control group and observation group with 100 cases in each group.The control group adopted rate-based feeding strategy,and the observation group adopted volume-based feeding strategy.Energy intake and nutritional indexes were compared in the two groups.Results After 14 days of enteral nutrition support treatment,the serum albumin and prealbumin levels in the observation group were significantly higher than those in the control group(P<0.05).The intake of intestinal heat and protein in the observation group were significantly higher than those in the control group(P<0.05).The duration of daily feeding interruption in the observation group was significantly lower than that in the control group,and the target feeding compliance rate was significantly higher than that in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion Compared to rate-based feeding strategy,volume-based feeding strategy can further improve the frequent interruption during enteral nutrition implementation and improve the short-term nutritional status of patients.

关 键 词：重症患者 基于容量的喂养策略 基于速率的喂养策略 营养状况 临床预后 

分 类 号：R459[医药卫生—治疗学]