机械通气患者肠内与肠外营养临床对比研究.docVIP

机械通气患者肠内与肠外营养临床对比研究 　　[摘要]目的 研究?C器通气患者的应用支持方法，并探究肠内营养与肠外营养的临床使用效果。方法 选取2016年3月～2017年3月我院收治的80例机械通气患者，因呼吸衰竭在我院ICU接受治疗，采用随机方法分为对照组和观察组各40例。对照组实施肠外营养支持，观察组实施肠内营养支持。对血液中的清蛋白、前清蛋白、血红蛋白，分别在支持前后进行观察，观察两组撤机时间。结果 撤机时间，观察组短于对照组，差异有统计学意义（P0.05），支持后28 d观察组则改善更佳。对照组28 d内撤机成功率为70.0%，观察组28 d内撤机成功率为92.5%，差异有统计学意义（P0.05）。结论 机械通气患者给予肠内营养相比于肠外营养，更有利于患者吸收利用，缓解机械通气带来的能量消耗，更符合患者的生理状态，在减少患者通气时间的同时，也可以显著的减轻患者的痛苦，降低患者住院的费用，减轻患者和家属的负担，因此肠内营养值得临床优先选择使用。 　　[关键词]机械通气；肠内营养；肠外营养 　　[中图分类号] R459.3 [文献标识码] A [文章编号] 1674-4721（2017）09（b）-0026-04 　　Clinical comparative study of enteral and parenteral nutrition in patients receiving mechanical ventilation 　　GUAN Li-ping1 WEI Zhi-qiang2 WANG Yan-hua3 YU Peng4 　　1.Department of Intensive Medicine，Beijing Hui Ethnicity Hospital，Beijing 100054，China；2.Department of Orthopedics，the Second Affiliated Hospital of Beijing University of Chinese Medicine，Beijing 100078，China；3.Department of Spleen and Stomach，the Third Affiliated Hospital of Beijing University of Chinese Medicine，Beijing 100029，China；4.Department of Critical Care Medicine，Beijing Hui Ethnicity Hospital，Beijing 100053，China 　　[Abstract]Objective To study the application of support methods in patients receiving mechanical ventilation，and to explore the clinical application effect of enteral nutrition and parenteral nutrition.Methods 80 patients receiving mechanical ventilation from March 2016 to March 2017 were admitted.The patients were all affected with respiratory failure and received treatment in ICU of our hospital；the patients were divided into the control group and the observation group by randomization.The control group was treated with parenteral nutrition support，and the observation group was given enteral nutrition support.The albumin and prealbumin，hemoglobinin the blood were observed.1 d before intervention and 28 days after intervention.The machine withdrawal time was observed simultaneously in both groups.Results In terms of machine withdrawal time，the observation group was s