基于mNUTRIC评分联合AGI分级的营养干预在脑外伤危重症患者中的应用  

Application of Nutritional Intervention Based on mNUTRIC Score Combined with AGI Grading in Critically I Patients with Traumatic Brain Injury

作　　者：李会双 崔丹丹 LI Huishuang;CUI Dandan(Department of Critical Care Medicine,Henan Provincial People's Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]河南省人民医院重症医学部中心,河南郑州450000

出　　处：《中国烧伤创疡杂志》2025年第2期136-139,143,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的分析基于改良危重症营养风险(mNUTRIC)评分联合急性胃肠损伤(AGI)分级的营养干预在脑外伤危重症患者中的应用效果。方法选取2021年2月至2024年2月河南省人民医院收治的195例脑外伤危重症患者作为研究对象,按照不同营养干预方式将其分为研究组(99例)与对照组(96例),研究组患者采用基于mNUTRIC评分联合AGI分级的营养干预,对照组患者采用常规营养干预,对比两组患者前白蛋白(PAB)、白蛋白(ALB)、转铁蛋白(TRF)水平,喂养不耐受发生情况及达标率。结果干预第3、7、14天,研究组患者PAB、ALB、TRF水平均明显高于对照组(干预第3天:t=2.793、3.417、6.790,P=0.006、P<0.001、P<0.001;干预第7天:t=2.327、3.434、3.119,P=0.021、P<0.001、P=0.002;干预第14天:t=6.981、4.954、4.421,P均<0.001);研究组患者喂养不耐受发生率明显低于对照组(χ^(2)=8.808,P=0.003);干预第7、14天,研究组患者喂养达标率明显高于对照组(t=8.992、16.692,P均<0.001)。结论给予脑外伤危重症患者采用基于mNUTRIC评分联合AGI分级的营养干预,可有效提高喂养达标率,改善营养状态,降低喂养不耐受发生风险。Objective To analyze the clinical efficacy of nutritional intervention based on the modified nutrition pisk in the critically ill(mNUTRIC)score combined with acute gastrointestinal injury(AGI)grading in critically ill patients with traumatic brain injury.Methods 195 critically ill patients with traumatic brain injury admitted to Henan Provincial People's Hospital from February 2021 to February 2024 were enrolled as research subjects.Patients were divided into the study group(n=99)and the control group(n=96)based on the different nutritional intervention approaches.Patients in the study group received nutritional intervention based on the mNUTRIC score combined with AGI grading,while the control group received conventional nutritional intervention.The levels of prealbumin(PAB),albumin(ALB),and transferrin(TRF),as well as the occurrence of feeding intolerance and feeding compliance rates,were compared between the two groups.Results Respectively on days 3,7 and 14 of intervention,the levels of PAB,ALB,and TRF of patients in the study group were significantly higher than those in the control group(day 3 of intervention:t=2.793,3.417 and 6.790,P=0.006,P<0.001,P<0.001;day 7 of intervention:t=2.327,3.434 and 3.119,P=0.021,P<0.001,P=0.002;day 14 of intervention:t=6.981,4.954 and 4.421,all P<0.001).The occurrence of feeding intolerance in the study group was significantly lower than that in the control group(χ^(2)=8.808,P=0.003).On days 7 and 14 of intervention,the feeding compliance rates in the study group were significantly higher than those in the control group(t=8.992 and 16.692,both P<0.001).Conclusion Nutritional intervention based on the mNUTRIC score combined with AGI grading in critically ll patients with traumatic brain injury can effectively increase feeding compliance rates,improve nutritional status,and reduce the risk of occurrence of feeding intolerance.

关 键 词：脑外伤 肠内营养 喂养不耐受 营养干预 危重症 喂养达标率 

分 类 号：R47[医药卫生—护理学]