不同管饲方法肠内营养支持干预在ICU呼吸机辅助通气治疗患者中的应用效果  

Effect of different tube feeding methods on enteral nutrition support intervention in ICU patients with ventilator-assisted ventilation

作　　者：钟晖[1] 吕玉颖[1] 李秀娟 ZHONG Hui;LYU Yuying;LI Xiujuan(Respiratory Intensive Care Unit,Shijingshan Hospital,Beijing Chaoyang Hospital Affiliated to the Capital Medical University,Beijing100043,China)

机构地区：[1]首都医科大学附属北京朝阳医院石景山院区呼吸重症监护室,北京100043

出　　处：《中国医药导报》2023年第28期193-196,共4页China Medical Herald

摘　　要：目的探讨不同管饲方法肠内营养支持干预在ICU呼吸机辅助通气治疗患者中的应用效果。方法选择2020年1月至2022年12月首都医科大学附属北京朝阳医院石景山院区收治的98例ICU呼吸机辅助通气治疗患者,根据随机数字表法将其分为甲组(49例)和乙组(49例)。甲组采用传统经鼻胃管肠内营养支持干预,乙组予以经鼻空肠营养管肠内营养支持干预。观察两组营养状况、呼吸功能及并发症发生情况。结果干预后,两组血红蛋白及血清白蛋白水平高于干预前,且乙组高于甲组,差异有统计学意义(P<0.05)。干预后,两组呼吸频率水平比较,差异无统计学意义(P>0.05);两组潮气量水平高于干预前,且乙组高于甲组,差异有统计学意义(P<0.05)。两组腹泻及肺部感染发生率比较,差异无统计学意义(P>0.05);乙组食物反流、胃潴留发生率低于甲组,差异有统计学意义(P<0.05)。结论与传统经鼻胃管比较,经鼻空肠营养管肠内营养干预对于改善ICU呼吸机辅助通气治疗患者的营养状况、呼吸功能更具优势,且安全性更高。Objective To investigate the effect of different tube feeding methods on enteral nutrition support intervention in ICU patients with ventilator-assisted ventilation.Methods Ninety-eight patients with ICU ventilator-assisted ventilation treated in Shijingshan Hospital,Beijing Chaoyang Hospital Affiliated to the Capital Medical University from January 2020 to December 2022 were selected and divided into group A(49 cases)and group B(49 cases)according to random number table method.Group A received traditional enteral nutrition support intervention through nasogastric tube,while group B received enteral nutrition support intervention through nasogastric tube.The nutritional status,respiratory function,and complications of the two groups were observed.Results After intervention,haemoglobin and albumin levels in two groups were higher than those before intervention,while those of group B were higher than those of group A,and the differences were statistically significant(P<0.05).After intervention,there was no significant difference in respiration rate between the two groups(P>0.05).The level of tidal volume in two groups was higher than before intervention,and the level in group B was higher than that in group A,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of diarrhea and pulmonary infection between the two groups(P>0.05).The incidence of food reflux and gastric retention in group B was lower than that in group A,and the difference was statistically significant(P<0.05).Conclusion Compared with the traditional nasogastric tube,nasojejunal nutrition intervention has more advantages and safety in improving the nutritional status and respiratory function of patients treated with ventilator-assisted ventilation in ICU.

关 键 词：空肠营养管 胃管 肠内营养 机械通气 营养状况 

分 类 号：R473[医药卫生—护理学]