危重病人早期肠内营养的临床应用分析  

The application of early enteral nutrition in critical ill patients

作　　者：顾葆春[1] 邢锐[1] 文强[1] 杨自力[1] 杨春华[1] 麦悦强[1] 吴恒义[1] 

机构地区：[1]广州军区广州总医院ICU,广州军区危重病研究所,广东广州510010

出　　处：《肠外与肠内营养》2004年第1期20-22,共3页Parenteral & Enteral Nutrition

摘　　要：目的 :分析早期肠内营养在危重病人中的临床应用状况。　方法 :回顾 3年半中住ICU >1 0天的 2 78例病人资料 ,分析各类病种及各种途径早期肠内营养的实施情况 ,观察开始时间、达到营养目标点时间、并发症等。　结果 :87.1 %的危重病人可早期给予肠内营养 ,早期肠内营养开始时间、达到营养目标点时间与营养途径有关。　结论 :早期肠内营养在危重病人中可以实施 ,并可能有助于降低病死率。Objectives: To analyze the application of early enteral nutrition in critically ill patients. Methods: The times of starting early enteral nutrition and reaching nutritional goal were rewiewed in the 278 patients admitted to our ICU and having stayed for more than 10 days. Results: Early enteral nutrition was performed in 87.1% of critically ill patients.The times of starting early enteral nutrition and reaching nutritional goal had significant differences among different enteral nutrition methods. Patients in survival group started enteral nutrition and reached nutritional goal earlier than those in control group ( P <0.01). Conclusions: The early enteral nutrition can be performed in critically ill patients; it might help to reduce the mortality in ICU patients.

关 键 词：危重病人 肠内营养 临床应用 并发症 肠源性感染 

分 类 号：R459.3[医药卫生—治疗学] R605.97[医药卫生—临床医学]