不同肠内营养支持策略对老年重症患者生活质量的影响比较  

Comparison of effects of different enteral nutrition support strategies on quality of life in critically ill elderly patients

作　　者：刘爱平 黄鹏 张慧敏 LIU Aiping;HUANG Peng;ZHANG Huimin(Department of Geriatrics,Civil Aviation General Hospital,Beijing 100123,China)

机构地区：[1]民航总医院老年科,北京市100123

出　　处：《河北医药》2024年第13期2013-2016,共4页Hebei Medical Journal

摘　　要：目的 探讨两种不同肠内营养支持策略用于老年重症患者的效果及对预后的影响。方法 收集重症监护室2022年4月至2023年3月收治的老年重症患者62例,根据患者肠内营养支持策略不同分为对照组30例和观察组32例。对照组给予瑞代早期肠内营养支持治疗,观察组给予瑞能早期肠内营养支持治疗。对比2组患者营养指标、营养不良风险变化及不良反应、生活质量改善情况。结果 观察组血清总蛋白(TP)、白蛋白(ALB)、转铁蛋白(TF)、前白蛋白(PA)水平均显著低于对照组(P<0.05);治疗2周后、末次随访时与对照组比较,观察组营养风险筛查(NRS-2002)评分均显著降低(P<0.05);2组不良反应总发生率分别为10.00%、12.50%,观察组相比对照组略高,但差异无统计学意义(P>0.05);观察组生活质量综合评定问卷-74(成人版)(GQOL-74)量表中心理、躯体、社会功能评分及物质生活评分均显著低于对照组(P<0.05)。结论 选用不同肠内营养支持策略给予老年重症患者治疗,效果有显著差异,瑞能营养制剂的应用在机体营养改善、生活质量改善等方面效果均优于使用瑞代营养制剂。Objective To investigate the effect of two different enteral nutrition support strategies on prognosis of critically ill elderly patients.Methods A total of 62 critically ill elderly patients admitted to the intensive care unit of our hospital from April 2022 to March 2023 were retrospectively analyzed.The patients were assigned to control group(n=30,receiving early enteral nutrition with Ruidai)or observation group(n=30,receiving early enteral nutrition with Ruineng).The nutritional indicators,malnutrition risk and adverse reactions,and improvement of quality of life were compared between groups.Results After treatment,the levels of serum total protein(TP),albumin(ALB),transferrin(TF)and prealbumin(PA)in observation group were significantly lower than those of control group(P<0.05).After 2 weeks of treatment and at the last follow-up,the Nutritional Risk Screening 2002(NRS-2002)scores of the observation group were significantly lower than those of the control group(P<0.05).The total incidence of adverse reactions in the observation group was similar to the control group(12.50%vs 10.00%,P>0.05).The Generic Quality of Life Inventory 74(GQOL-74)scale scores(psychological,physical,social function and material life)in the observation group were significantly lower than those of the control group(P<0.05).Conclusion The effects were significantly different using different enteral nutrition support strategies in critically ill elderly patients.The application of Ruineng nutrition preparation is better than that of Ruidai nutrition preparation in the improvement of body nutrition and quality of life.

关 键 词：老年人 重症患者 肠内营养支持 瑞代 瑞能 生活质量 

分 类 号：R151.4[医药卫生—营养与食品卫生学]