摘要
目的比较2种肠内营养混悬液应用于重症应激性高血糖患者肠内营养支持的临床效果。方法将46例重症应激性高血糖患者随机分成2组,每组23例。行手术治疗后,对照组给予肠内营养混悬液(TPF,能全力);观察组给予肠内营养混悬液(TPF-DM,康全力)。观察2组患者空腹血糖、甘油三酯水平的变化,并监测不良反应。结果营养支持第5天,对照组空腹血糖水平显著升高,第10天时虽有所下降,但仍维持在较高水平;而观察组营养支持前后空腹血糖水平无显著变化,2组比较差异显著。营养支持治疗后,2组甘油三酯水平均较治疗前无显著变化。2组不良反应发生率无显著差异。结论康全力可有效控制重症应激性高血糖患者血糖及甘油三酯水平,且安全性高,值得临床推广。
Objective To compare the clinical effect of 2 kinds of enteral nutritional suspen- sion on enteral nutrition support in patients with severe irritable hyperglycemia. Methods 46 pa- tients with severe irritable hyperglycemia were randomly divided into 2 groups. The control group （23 cases） received TPF, while the observation group （23 cases） received TPF- DM. The levels of fasting blood glucose, triglyceride and the adverse reactions were observed between 2 groups. Results Fasting blood glucose in control group obviously increased at the fifth day during nutrition support period and decreased at the tenth day, but still maintained at a high level. The levels of fasting blood glucose before and after nutrition support in observation group had no significant difference, and there was significant difference between 2 groups. The levels of triglyceride in 2 groups after nutrition support had no significant difference. The incidence of adverse reaction of 2 groups had no significant difference. Conclusion TPF - DM can effectively regulate the level of blood sugar and triglyceride in patients with severe irritable hyperglycemia. It is safe and worthy of clinical popular- ization.
出处
《实用临床医药杂志》
CAS
2012年第24期29-30,共2页
Journal of Clinical Medicine in Practice
关键词
应激性高血糖
肠内营养混悬液
肠内营养支持
空腹血糖
irritable hyperglycemia
enteral nutritional suspension
enteral nutrition sup-port
fasting blood glucose
