CAJ | 학술논문

目的：探讨“医护一体化”在ICU对肾功能不全危重患者肠内营养支持的应用效果。方法58例诊断含“肾功能不全”的危重患者，随机分为研究组28例和对照组30例，其中对照组患者每日常规采用肠内营养乳剂(internal nutrition emulsion)持续胃管泵注补充能量；研究组采用“医护一体化”为患者制定个性化肠内营养支持方案。2周后对两组患者的肾功指标与肠内营养并发症发生率进行分析对比。结果两组患者经过治疗后，肾功指标均下降，研究组下降趋势较对照组明显，两组差异具有统计学意义(P<0.05)；肠内营养并发症研究组发生率低于对照组，差异有统计学意义(P<0.05)。结论“医护一体化”在肾功能不全患者肠内营养支持中的实施具有促进患者疾病恢复和降低肠内营养并发症的作用，在临床有一定优势。
목적：탐토“의호일체화”재ICU대신공능불전위중환자장내영양지지적응용효과。방법58례진단함“신공능불전”적위중환자，수궤분위연구조28례화대조조30례，기중대조조환자매일상규채용장내영양유제(internal nutrition emulsion)지속위관빙주보충능량；연구조채용“의호일체화”위환자제정개성화장내영양지지방안。2주후대량조환자적신공지표여장내영양병발증발생솔진행분석대비。결과량조환자경과치료후，신공지표균하강，연구조하강추세교대조조명현，량조차이구유통계학의의(P<0.05)；장내영양병발증연구조발생솔저우대조조，차이유통계학의의(P<0.05)。결론“의호일체화”재신공능불전환자장내영양지지중적실시구유촉진환자질병회복화강저장내영양병발증적작용，재림상유일정우세。
Objective To explore “integration of medical care” effects on enteral nutrition support for severe renal insufficiency patients in ICU.Methods A total of 58 ICU patients on diagnosis of renal insufficiency were randomly divided into the study group (n=28) and the control group (n=30). The control group was treated by internal nutrition emulsion from tube, while the study group received a personalized internal nutrition of “integration of medical care”. The two groups’ renal parameters and complication rate were compared after 2 weeks. Results Two groups’ renal functions both decreased, and the decline of the study group was more obvious than that of the control group. The difference was statistically significant (P<0.05). The incidence of enteral nutrition complications of the study group was lower than that of the control group, and the difference had statistical significance (P<0.05).Conclusion Integration of medical care for renal insufficiency patients can promote renal insufficiency patients’ recovery and reduces the complications, and it has advantages in clinical usage.