CAJ | 학술논문

目的：探讨早期营养支持对重症监护病房（ICU）床旁血液净化患者的疗效。方法2010年1月至2013年1月，对发生重症监护病房行床旁血液净化患者进行早期营养支持组（A组）23例与常规营养支持组（B组）18例进行对比研究。结果在发病的第21天早期营养支持组血清总蛋白、白蛋白和血红蛋白水平较治疗前明显升高均比一般营养支持组高，早期营养支持组APACHEⅡ评分也明显低于一般营养支持组。结论NICU连续性血液净化患者，早期、足量营养支持治疗可改善危重患者的营养状况，改善预后。
목적：탐토조기영양지지대중증감호병방（ICU）상방혈액정화환자적료효。방법2010년1월지2013년1월，대발생중증감호병방행상방혈액정화환자진행조기영양지지조（A조）23례여상규영양지지조（B조）18례진행대비연구。결과재발병적제21천조기영양지지조혈청총단백、백단백화혈홍단백수평교치료전명현승고균비일반영양지지조고，조기영양지지조APACHEⅡ평분야명현저우일반영양지지조。결론NICU련속성혈액정화환자，조기、족량영양지지치료가개선위중환자적영양상황，개선예후。
Objective To explore the effect of early enteral nutrition in the intensive care unit(ICU) patients with continuous blood puriifcation treatment. Methods Fourty-one patients with continuous blood purification treatment were randomly divided into two groups: early enteral nutrition group(23 cases)and general nutrition group(18 cases)from JAN 2010 to JAN 2013.Results After 21 days therapy , the levels of serum total protein, serum albumin and hematoglobulin in early enteral nutrition group increased obviously than those before therapy or those in general nutrition group at same stagerespecti vely(P<0.05). APCHE- II scores were reduced in early enteral nutrition group than general nutrition group. Conclusion The early enteral nutrition support might improve the nutritional condition of critically ill patients, reduce the incidence rate of complication, and promote the prognosis. in the intensive care unit patients with continuous blood puriifcation treatment.