摘要
目的评价基于修订肠内营养耐受性评分表的干预方案对重症加强护理病房(ICU)患者早期肠内营养(EN)喂养不耐受(FI)的影响。方法82例ICU行早期EN的患者为研究对象,采用随机数字表法分为研究组与对照组,每组41例。对照组通过监测胃残留量(GRV)评估EN耐受性并进行分级干预,研究组采用修订肠内营养耐受性评分表评估EN耐受性并进行分级干预。比较两组患者FI发生率、目标喂养达标率与营养指标[血清总蛋白(TP)、血清白蛋白(ALB)与血红蛋白(Hb)]。结果研究组与对照组FI发生率分别为19.4%与35.4%,目标喂养达标率分别为77.4%与62.3%。研究组FI发生率低于对照组,目标喂养达标率高于对照组(P<0.05)。入住ICU后7d,研究组TP、ALB与Hb分别为(68.3±7.5)、(39.7±6.8)、(130.7±16.6)g/L,对照组分别为(64.1±6.7)、(36.1±5.7)、(126.3±14.0)g/L。入住ICU后7 d,研究组TP与ALB高于对照组(P<0.05),两组Hb比较无统计学差异(P>0.05)。结论基于修订肠内营养耐受性评分表的干预方案可提升ICU患者对EN的耐受性与目标喂养达标率,提升营养支持效果。
Objective To evaluate the effect of an intervention scheme based on the revised enteral nutrition tolerance scale on early enteral nutrition(EN)feeding intolerance(FI)in intensive care unit(ICU)patients.Methods 82 patients with early EN in ICU were selected as the research subjects and divided into a study group and a control group according to random numerical table,with 41 cases in each group.The control group assessed the tolerance of EN by monitoring gastric residual volume(GRV)and conducted graded intervention,while the study group assessed the tolerance of EN by using the revised enteral nutrition tolerance scale and conducted graded intervention.The incidence of FI,the target feeding rate and nutritional indicators[serum total protein(TP),serum albumin(ALB)and hemoglobin(Hb)]of the two groups were compared.Results The incidence of FI in the study group and the control group were 19.4%and 35.4%,respectively,and the target feeding rate were 77.4%and 62.3%,respectively.The incidence of FI in the study group was lower than that in the control group,and the target feeding rate was higher than that in the control group(P<0.05).7 d after ICU admission,TP,ALB and Hb in the study group were(68.3±7.5),(39.7±6.8)and(130.7±16.6)g/L,while those in the control group were(64.1±6.7),(36.1±5.7)and(126.3±14.0)g/L.7 d after ICU admission,TP and ALB in the study group were higher than those in the control group(P<0.05).There was no significant difference in Hb between the two groups(P>0.05).Conclusion The intervention scheme based on the revised enteral nutrition tolerance scale can improve the tolerance to EN and the target feeding rate of ICU patients,and improve the nutritional support effect.
作者
林小琳
王小珍
黄燕玲
LIN Xiao-lin;WANG Xiao-zhen;HUANG Yan-ling(Department of Critical Care Medicine,Quanzhou First Hospital,Quanzhou 362000,China)
出处
《中国现代药物应用》
2024年第8期162-165,共4页
Chinese Journal of Modern Drug Application
