摘要
目的探讨内科机械通气患者早期肠内营养（EN）支持的时机。方法将110例内科机械通气的重症患者随机分为24h内EN组（A组）和24～48hEN组（B组），每组各55例。比较两组患者的经EN达标率、EN相关并发症。结果治疗后，A组的血清IgG、IgA、Alb、Hb、TLC明显低于B组（P〈0．05）；A组的达标率显著低于B组（P〈0．05）；A组恶心、呕吐、腹胀、腹泻和呼吸机相关肺炎（VAP）的发生率高于B组（P〈0．05）。结论内科机械通气的患者24～48h内给予EN，可提高肠内营养成功率，减少肠内营养相关并发症。
Objective To investigate the opppotunity of enteral nutrition （EN）support in patients with mechanical ven- tilation in department of internal medicine. Methods 110 severe patients with mechanical ventilation in department of internal medicine were randomly divided into the EN group within 24 h （the group A,n=55） and the EN group in 24- 48 h （the group B,n=55）.Compliance rate of EN and EN related complications of the two groups was compared. Re- suits After treatment,serum IgA,IgG,ALB,Hb and TLC in the group A were significantly lower than that in the group B （P〈0.05）;compliance rate in the group A was significantly lower than that in the group B （P〈0.05）;the incidence rate of nausea,vomiting,abdominal distension,diarrhea and ventilator associated pneumonia （VAP） in the group A was higher than that in the group B （P〈0.05）. Conclusion EN within 24-48 h used in patients with mechanical ventilation in department of internal medicine can can improve the success rate of enteral nutrition and reduce EN related complica- tions.
出处
《中国当代医药》
2013年第36期178-179,共2页
China Modern Medicine
基金
广西壮族自治区贵港市科学研究与技术开发计划项目(贵科攻1005022)
关键词
机械通气
危重症
肠内营养
早期
Mechanical ventilation
Critically ill
Enteral nutrition
Early stage
