中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2012年
6期
359-362
,共4页
益生菌%肠内营养%腹泻
益生菌%腸內營養%腹瀉
익생균%장내영양%복사
Probiotics%Enteral nutrition%Diarrhea
目的 初步探讨益生菌在预防危重患者腹泻方面的作用.方法 选取2009年5月至2010年9月本院呼吸内科重症监护室需行肠内营养的患者,分为常规喂养组(对照组,n =38)和加用益生菌组(研究组,n=42).对照组给予肠内营养液(能全力)鼻饲,研究组在常规喂养的基础上加用益生菌酸奶鼻饲.比较两组腹泻发生率、发生次数及腹泻相关因素、住院时间等指标.结果 研究组第5、6、7天腹泻例数分别为2、3、3例,较对照组的9、8、7例减少(P＜0.05)；便培养中白色念球菌与真菌孢子发生率分别为3例和2例,低于对照组的9例和7例(P＜0.05)；住院时间[(13.17±3.79)d比(15.18±4.39)d,P=0.031]、住院费用[(6307±2358)元比(8253±3186)元,P=0.002]、家属满意度均优于对照组.结论 益生菌对于预防危重患者肠内营养相关性腹泻有一定的效果.
目的 初步探討益生菌在預防危重患者腹瀉方麵的作用.方法 選取2009年5月至2010年9月本院呼吸內科重癥鑑護室需行腸內營養的患者,分為常規餵養組(對照組,n =38)和加用益生菌組(研究組,n=42).對照組給予腸內營養液(能全力)鼻飼,研究組在常規餵養的基礎上加用益生菌痠奶鼻飼.比較兩組腹瀉髮生率、髮生次數及腹瀉相關因素、住院時間等指標.結果 研究組第5、6、7天腹瀉例數分彆為2、3、3例,較對照組的9、8、7例減少(P＜0.05)；便培養中白色唸毬菌與真菌孢子髮生率分彆為3例和2例,低于對照組的9例和7例(P＜0.05)；住院時間[(13.17±3.79)d比(15.18±4.39)d,P=0.031]、住院費用[(6307±2358)元比(8253±3186)元,P=0.002]、傢屬滿意度均優于對照組.結論 益生菌對于預防危重患者腸內營養相關性腹瀉有一定的效果.
목적 초보탐토익생균재예방위중환자복사방면적작용.방법 선취2009년5월지2010년9월본원호흡내과중증감호실수행장내영양적환자,분위상규위양조(대조조,n =38)화가용익생균조(연구조,n=42).대조조급여장내영양액(능전력)비사,연구조재상규위양적기출상가용익생균산내비사.비교량조복사발생솔、발생차수급복사상관인소、주원시간등지표.결과 연구조제5、6、7천복사례수분별위2、3、3례,교대조조적9、8、7례감소(P＜0.05)；편배양중백색념구균여진균포자발생솔분별위3례화2례,저우대조조적9례화7례(P＜0.05)；주원시간[(13.17±3.79)d비(15.18±4.39)d,P=0.031]、주원비용[(6307±2358)원비(8253±3186)원,P=0.002]、가속만의도균우우대조조.결론 익생균대우예방위중환자장내영양상관성복사유일정적효과.
Objective To explore the role of probiotics in the prevention of diarrhea in critically ill patients.Methods The patients receiving enteral nutrition from May 2009 to September 2010 in the Respiratory Intensive Care Unit were divided into routine feeding group (control group,n =38) and probiotic yogurt feeding group (yogury group,n =42).The control group accepted routine enteral nutrition liquid (Nutrison),while the yogurt group accepted conventional feeding plus probiotic yogurt.The incidence of dianhea,length of hospital stay,and other indicators were compared between these two groups.Results The incidence of diarrhea was lower in the yogurt group on the 5th,6th,and 7th days (P＜0.05).The cases of positive stool bacterial and fungal culture results in the yogurt group were less than those in the control group (P ＜ 0.05).In addition,the hospital stay was shorter [(13.17±3.79) d vs.(15.18±4.39) d,P=0.031],the cost was lower [(6307±2358) yuan vs.(8253±3186) yuan,P =0.002],and the satisfaction of the patients were higher in the yogurt group.Conclusion Probiotics may reduce the occurrence of diarrhea associated with enteral nutrition in critically ill patients.
