目标导向性肠内营养支持在重症患儿中的应用  

Application of goal-oriented enteral nutrition support in critically ill children

作　　者：张萌[1] 文会会 邹莹 陈晓娜 Zhang Meng;Wen Huihui;Zou Ying;Chen Xiaona(Zhengzhou University Affiliated Children’s Hospital,Henan Children’s Hospital,Zhengzhou Children’s Hospital Internal Medicine Monitoring Room,Henan 450000,China)

机构地区：[1]河南郑州大学附属儿童医院内科监护室,450000

出　　处：《国际移植与血液净化杂志》2024年第2期29-32,共4页International Journal of Transplantation and Hemopurification

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20191081)。

摘　　要：目的探究目标导向性肠内营养支持在重症儿童中的应用。方法选取2022年12月至2023年12月在我院就诊的重症患儿170例作为研究对象, 按照分层抽样法将患儿分为两组, 每组各85例。对照组给予肠外营养支持, 研究组给予目标导向性肠内营养支持。分析两组患儿治疗前、后营养状况、内分泌代谢、免疫炎症水平、不耐受情况以及患儿治疗效果。结果治疗后, 研究组患儿营养状况指标、内分泌代谢指标、免疫指标高于对照组, 炎症指标、总不耐受率低于对照组(P<0.05)。研究组治疗总有效率高于对照组(P<0.05)。结论给予重症患儿目标导向性肠内营养支持可提高患儿营养状况和免疫能力, 改善患儿体内炎症状态, 调节患儿内分泌情况, 且显著降低患儿不耐受发生率。Objective To explore the application of goal oriented enteral nutrition support in critically ill children.Methods A total of 170 critically ill children were selected as the research subjects from December 2022 to December 2023.The children were divided into two groups using stratified sampling method,with 85 cases in each group.The control group received parenteral nutrition support,while the study group received goal-oriented enteral nutrition support.The levels of nutritional status indicators,endocrine metabolism indicators,inflammatory factor indicators,immune indicators,intolerance,and treatment effects were analyzed.Results The levels of nutritional status indicators,endocrine metabolism indicators and immune indicators in the study group were higher than those in the control group after the treatment(P<0.05).The levels of inflammatory factor indicators and the total intolerance rate in the study group were lower than those in the control group(P<0.05).The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).Conclusion Goal-oriented enteral nutrition support for critically ill children can improve nutritional status,immune function and internal inflammation,regulate endocrine status,and significantly reduce intolerance.

关 键 词：目标导向性 肠内营养支持 重症儿童 营养状况指标 

分 类 号：R720.597[医药卫生—急诊医学]