分析序贯应用肠内、肠外营养对重症监护室老年肿瘤患者营养及预后的影响  

Analysis of the Effects of Sequential Application of Enteral and Parenteral Nutrition on Nutrition and Prognosis of Elderly Oncology Patients in Intensive Care Unit

作　　者：王慧 徐立秀 Wang Hui;Xu Lixiu(Shandong Taishan Hospital,Taian 271000,Shandong Province,China)

机构地区：[1]山东省泰山医院,山东泰安271000

出　　处：《中外医药研究》2024年第12期52-54,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析重症监护室老年肿瘤患者开展序贯应用肠内、肠外营养对其营养及预后的影响。方法:选取2021年3月—2023年4月山东省泰山医院收治的老年肿瘤患者70例作为研究对象,随机分为参照组和研究组,各35例。所有患者采取对症治疗和常规的护理干预,且在进行营养支持前进行营养风险筛查,确保相应的营养支持能够满足患者机体代谢的基础需求,参照组患者给予全肠外营养,研究组患者给予序贯应用肠内、肠外营养。比较两组的营养指标、身体指标及并发症发生率。结果:治疗前,两组患者营养指标比较,差异无统计学意义(P>0.05);治疗后,研究组血红蛋白、前白蛋白、白蛋白水平高于参照组,差异有统计学意义(P<0.05)。治疗前,两组患者身体指标比较,差异无统计学意义(P>0.05);治疗后,研究组肱三头肌皮褶厚度、上臂肌围、体质量高于参照组,差异有统计学意义(P<0.05)。研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05)。结论:对重症老年肿瘤患者开展序贯应用肠内、肠外营养治疗,可有效地改善营养状况,提高身体指标,并发症较少,有利于患者的恢复。Objective:To analyze the effect of carrying out sequential application of enteral and parenteral nutrition on nutrition and prognosis of elderly oncology patients in intensive care unit.Methods:Seventy cases of elderly oncology patients admitted to Shandong Taishan Hospital from March 2021 to April 2023 were selected as the study subjects,and randomly divided into the reference group and the study group,each with thirty-five cases.All patients were treated with symptomatic therapy and routine nursing interventions,and nutritional risk screening was carried out before nutritional support to ensure that the corresponding nutritional support could meet the basic needs of the patients'body metabolism,and patients in the reference group were given total parenteral nutrition,while patients in the study group were given sequential application of enteral and parenteral nutrition.Compare the nutritional indexes,physical indexes and complication rates of the two groups.Results:Before treatment,the nutritional indexes of the two groups of patients were compared,and the difference was not statistically significant(P>0.05);after treatment,the hemoglobin,prealbumin,and albumin levels of the study group were higher than those of the reference group,and the difference was statistically significant(P<0.05);before treatment,the physical indexes of the two groups of patients were compared,and the difference was not statistically significant(P>0.05);after treatment,the thickness of triceps skinfold,upper arm muscle circumference,and body mass of the study group were higher than those of the reference group,and the difference was statistically significant(P<0.05);the total incidence of complications in the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion:Sequential application of enteral and parenteral nutritional therapy for critical elderly tumor patients can effectively improve the nutritional status and body indexes,with fewer complications,which is conduci

关 键 词：老年肿瘤 序贯治疗 肠内营养 肠外营养 

分 类 号：R473.73[医药卫生—护理学]