肠内营养联合益生菌对危重症患者胃肠功能障碍的影响.docVIP

精品论文 参考文献 肠内营养联合益生菌对危重症患者胃肠功能障碍的影响 河北医科大学第二医院 河北 050000 王燕 副主任医师，硕士 石剑 医师，硕士 贡丽雅 医师，硕士 [摘要]目的 研究分析肠内营养联合益生菌对危重症患者胃肠功能的影响。方法 选取本院2012年3月至2014年7月ICU 危重症患者46例，将患者分为实验组（23例）和对照组（23例），实验组患者肠内营养联合益生菌，对照组患者单纯肠内营养，两组患者均在入院后24-72h内经鼻胃管开始肠内营养，观察并比较两组患者胃肠动力情况、发生便秘、返流、腹泻、胃潴留的例数、首次排便时间及住ICU的时间。结果 肠内营养后试验组返流、腹泻、便秘、胃潴留发生率及首次排便时间均小于对照组(plt;0.05)。实验组住ICU的时间少于对照组，且组间差异有统计学意义（plt;0.05）。干预7d后，实验组的血清总蛋白和前白蛋白水平均高于对照组，差异有统计学意义（plt;0.05）。结论 肠内营养联合益生菌能显著改善危重症患者的胃肠功能, 减少ICU住院时间，值得临床推广应用。 [关键词]肠内营养；益生菌；危重症患者；胃肠功能障碍 【中图分类号】R548【文献标识码】A【文章编号】1001-5213(2016)09-0216-02 Effect of enteral nutrition combined with probiotics on gastrointestinal dysfunction in critically ill patients [Abstract]objective To study the effect of enteral nutrition combined with probiotics on gastrointestinal dysfunction in critically ill patients.Methods 46 patients with critically ill in ICU from March 2012 to July 2014 were selected. Patients were randomly divided into study group and control group with 23 patients each group. The control group received enteral nutrition, and study group received enteral nutrition combined with probiotics. All patients of two grou were treated with enteral nutrition hrough a nasogastric tube within 24-72h in hospital. Gastrointestinal motility, constipation, reflux, diarrhea, gastric retention, the first defecation time and ICU stay time in two groups were observed and compared. Results The incidence of Reflux, diarrhea, constipation, gastric retention and the first defecation time in study group were lower than those of control group(p＜0.05). ICU stay time of study group were lower than that of control group, and the difference between the groups was statistically significant (plt;0.05).The total protein and serum prealbumin levels of experimental group were higher than those of control group at 7d after intervention , and the difference was statistically significant (plt;0.05).Conclusion Enteral nutrition combined with probiotics can significantly improve gastrointestinal functi