Mechanical ventilation in elderly patients enteral nutritional support in comparative study.doc

 PAGE \* MERGEFORMAT 10 Mechanical ventilation in elderly patients enteral nutritional support in comparative study Study: Yongquan Wang Chunmei Li Jianxin Wu Yan Gu [Keywords:] older, mechanical ventilation, enteral nutrition, parenteral nutrition With the aging of the population, the prevalence of respiratory failure in elderly patients have increased every year, mechanical ventilation is to save critically ill patients is one important means. Mechanical ventilation and nutritional support and its related problems have attracted attention. As much as 40% to 50 % nutritional depletion in hospitalized patients required mechanical ventilation evidence, nutrition is not more widespread, more than 74% (1). different from the normal physiology of positive pressure ventilation in the patient’s gastrointestinal tract will be movement and the impact on energy demand, while oxygenation of the barriers also directly interfered with cell metabolism. Therefore, for receiving mechanical ventilation in the treatment of critically ill patients, reasonable and effective nutritional support is essential. but clinical mechanical ventilation in elderly patients on enteral nutrition (EN) and intestinal nutrition (PN) in the same intake of nitrogen under the conditions of heat and few studies to compare. This study was to compare EN and PN mechanical ventilation used in critically ill patients aged between nutritional status, and observe clinical efficacy and adverse reactions. 1 Subjects and methods 1.1 study Select January 2007 ~ February 2008 admitted to hospital intensive care unit with respiratory failure caused by various reasons, mechanical ventilation in elderly patients (agegt; = 60 years a total of 42 cases, including 26 males and 16 females. Select cases meet the following conditions: no history of metabolic disease and colitis, no liver and kidney failure, no stress ulcer and gastrointestinal bleeding in elderly patients with mechanical ventilation