CAJ | 학술논문

目的：探讨早期肠内营养在 ICU 危重症患者中的应用价值。方法选取2011年11月—2013年11月邢台市第三医院 ICU 收治的90例危重症患者，将其根据随机分配的方式分为对照组45例和观察组45例。对照组患者入 ICU 后2d 进行肠内营养支持，观察组则于患者入 ICU 后≤2d 进行肠内营养支持，观察比较两组患者干预前与干预后1、2周时的营养状态指标及胃肠道并发症发生率、感染发生率，其中营养状态指标为血清蛋白、前清蛋白、肱三头肌皮褶厚度、上臂肌围及血红蛋白水平。结果干预前两组的血清蛋白、前清蛋白、肱三头肌皮褶厚度、上臂肌围及血红蛋白水平比较，差异无统计学意义（P ＞0.05），干预后1、2周观察组的营养状态指标均高于对照组，差异有统计学意义（P ＜0.05）。两组胃肠道并发症发生率比较，差异无统计学意义（P ＞0.05）；观察组患者的感染发生率低于对照组，差异有统计学意义（P ＜0.05）。结论早期肠内营养在 ICU 危重症患者中的应用价值较高，可有效改善患者的营养状态及控制感染，且不增加胃肠道并发症。
목적：탐토조기장내영양재 ICU 위중증환자중적응용개치。방법선취2011년11월—2013년11월형태시제삼의원 ICU 수치적90례위중증환자，장기근거수궤분배적방식분위대조조45례화관찰조45례。대조조환자입 ICU 후2d 진행장내영양지지，관찰조칙우환자입 ICU 후≤2d 진행장내영양지지，관찰비교량조환자간예전여간예후1、2주시적영양상태지표급위장도병발증발생솔、감염발생솔，기중영양상태지표위혈청단백、전청단백、굉삼두기피습후도、상비기위급혈홍단백수평。결과간예전량조적혈청단백、전청단백、굉삼두기피습후도、상비기위급혈홍단백수평비교，차이무통계학의의（P ＞0.05），간예후1、2주관찰조적영양상태지표균고우대조조，차이유통계학의의（P ＜0.05）。량조위장도병발증발생솔비교，차이무통계학의의（P ＞0.05）；관찰조환자적감염발생솔저우대조조，차이유통계학의의（P ＜0.05）。결론조기장내영양재 ICU 위중증환자중적응용개치교고，가유효개선환자적영양상태급공제감염，차불증가위장도병발증。
Objective To investigate the application value of early enteral nutrition in critically ill patients in ICU. Methods From November 2011 to November 2013 in the Third Hospital of Xingtai City 90 critically ill patients were selected, they were divided into control group(n = 45)and observation group(n = 45)based on random distribution methods. Control group were given enteral nutrition after 2 days of being into ICU,observation group were given enteral nutrition within 2 days of being into ICU,nutrition status index,gastrointestinal complication rate,incidence of infection were compared between the two groups,nutrition status index included serum albumin,prealbumin,triceps skinfold thickness,arm muscle circumference and hemoglobin levles. Results Before the intervention,serum albumin,prealbumin,triceps skinfold thickness,arm muscle circumference and hemoglobin levles of the two groups were compared,the differences were not statistically significant(P >0. 05),after the intervention,nutrition status of the observation group were higher than the control group,the differences were statistically significant(P < 0. 05). Gastrointestinal complication rate between the two groups was compared,the difference was not statistically significant(P > 0. 05),incidence of infection of the observation group was lower than control group,the differ-ence was statistically significant(P < 0. 05). Conclusion Early enteral nutrition in critically ill patients in ICU have higher application value,can effectively improve the nutritional status of patients and control the incidence of infection,without in-creasing gastrointestinal adverse effects.