不同肠内营养输注方式对IU重症病人营养耐受情况的影响研究.docVIP

不同肠内营养输注方式对ICU重症病人营养耐受情况的影响研究 ［ ］目的探讨不同肠内营养输注方式对 ICU重症病人营养耐受情况的影响。方法方便选取该 院2013年5月一2015年5月收治的240例需要经胃 肠道营养支持的ICU重症病人，根据病情、不同置管 适应症将患者平均分为4组：A1组采用鼻饲泵间断 24 h泵入，A2组采用鼻饲泵持续24 h泵入；B1组采 用的是鼻饲泵间断24 h泵入，B2组采用的是鼻饲泵 持续24 h泵入。结果A1组、A2组、BUI.、B2组 ICU重症病人置管喂养后血清总蛋白值分别为(54.97 ±5.30)、(53.77土5.33)、(56.10±4.53)、(54.27±4.76) g/L, APACHE-II 评分分别为(20.53±3.48)分、(20.17 ±3.35)分、(20.10±2.82)分、(19.13±1.83)分， 各组差异无统计学意义(P0.05); Al、B1组治疗前 后血清总蛋白差异有统计学意义(P0.05)。结论间断 泵入在患者营养方面疗效要优于持续泵入方式，通过 不同肠内营养输注方ICU重症病人病情均处于好转 中，无显著差异，输注方式和并发症发生情况之间未 发现关联性，在临床中，必须根据病人实际情况合理 选择肠内营养输注方式。 ［关键词］肠内营养输注；ICU重症病人；营养耐 受情况 ［ ］R459 ［ ］A ［ ］ 1674-0742 (2016) 08 (c) -0082-03 Effect of Different Enteral Nutrition Infusion on Nutritional Tolerance of ICU Patients ZHENG Wen-bo Department of Critical Care medicine, the First Hospital of Quanzhou， Fujian， Quanzhou，Fujian Province，362000 China ［Abstract］ Objective To investigate the effects of different enteral nutrition infusion for ICU patients with severe nutritional situation of tolerance. Methods Convenient selection 240 cases require parenteral nutritional support in critically ill ICU patients in our hospital in May 2013 to May 2015 admitted， according to the disease, different indications for catheterization patients were divided into four groups： A1 group were pumped into the nasal feeding pump intermittent 24 h, A2 group with nasal feeding pump pumped continuous 24 h； BI group uses a nasal feeding pump intermittently 24 h pumped, B2 group It uses a nasal feeding pump pumped continuous 24 h. Results A1 group，A2 group, BI group，B2 group of ICU patients with severe total protein values of serum rear tube feeding were (54.97 土 5.30), (53.77 土 5.33), (56.10 土 4.53), (54.27±4.76) g/L, APACHE-II scores were (20.53 士 3.48) point, (20.17 土 3.35 ) point, (20.10 土 2.82) point, (19.13 土 1.83) point，each group showed no significant difference (P〉 0.05)； Ab before and after the BI group therapy serum total protein were significantly different, (P 0.05) . Conclusion Intermittent p