用EN须尽早---早期肠内.pptVIP

用EN须尽早----早期肠内营养（EEN） 一项Meta分析纳入了6个RCT，研究24h内给予ICU患者早期肠内营养（EEN）相对于24h后开始EN，对患者临床结局的影响 Doig GS, et al. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomized controlled trials. Intensive Care Med,2009;35:2018–27 EEN可降低ICU患者的死亡率 Doig GS, et al. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomized controlled trials. Intensive Care Med,2009;35:2018–27 EEN可降低ICU患者肺炎的发生率 Doig GS, et al. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomized controlled trials. Intensive Care Med,2009;35:2018–27 EEN对外科术后患者的影响 一项研究纳入1173例胃肠外科术后患者，24h内给予EEN的试验组，与不给于EN的对照组相比，对临床结局的影响 Lewis SJ, et al. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J Gastrointest Surg,2009;13(3):569-75. EEN降低外科患者的死亡率 Lewis SJ, et al. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J Gastrointest Surg,2009;13(3):569-75. EEN对烧伤患者的影响 Mosier MJ, et al. Early enteral nutrition in burns: compliance with guidelines and associated outcomes in a multicenter study. J Burn Care Res,2011;32(1):104-9. 一项研究纳入153例烧伤患者，试验组给予24h内EEN，对照组在烧伤24h后开始EN。 EEN影响烧伤患者的ICU住院时间 Mosier MJ, et al. Early enteral nutrition in burns: compliance with guidelines and associated outcomes in a multicenter study. J Burn Care Res,2011;32(1):104-9. EEN对颅脑外伤患者的影响 Chiang YH, et al. Early Enteral Nutrition and Clinical Outcomes of Severe Traumatic Brain Injury Patients in Acute Stage: A Multi-Center Cohort Study. J Neurotrauma, 2011 Aug 4. [Epub ahead of print] GCS评分4-8分的严重创伤性脑损伤患者中，试验组145例在受伤后48h内