CAJ | 학술논문

目的：：观察不同肠内营养实施时机对脓毒性休克的治疗效果及预后影响。方法：选取2013年7月~2015年7月收治的脓毒性休克患者56例,随机分为观察组与对照组,在常规治疗基础上,对照组实施延迟肠内营养,观察组实施早期肠内营养,对比观察两组患者临床效果及预后。结果：观察组治疗后 SOFA 评分明显低于对照组,并发症、MODS 发生率及多次手术率均少于对照组,ICU 住院时间及机械通气时间明显较对照组短(P <0.05),以上差异均有统计学意义。结论：早期肠内营养能够有效提高脓毒性休克预后,减少并发症、MODS 及多次手术的发生,缩短治疗时间,具有比延迟肠内营养更为理想的临床应用效果。
목적：：관찰불동장내영양실시시궤대농독성휴극적치료효과급예후영향。방법：선취2013년7월~2015년7월수치적농독성휴극환자56례,수궤분위관찰조여대조조,재상규치료기출상,대조조실시연지장내영양,관찰조실시조기장내영양,대비관찰량조환자림상효과급예후。결과：관찰조치료후 SOFA 평분명현저우대조조,병발증、MODS 발생솔급다차수술솔균소우대조조,ICU 주원시간급궤계통기시간명현교대조조단(P <0.05),이상차이균유통계학의의。결론：조기장내영양능구유효제고농독성휴극예후,감소병발증、MODS 급다차수술적발생,축단치료시간,구유비연지장내영양경위이상적림상응용효과。
Objective:To investigate the effect of enteral nutrition therapy and prognosis of the imple-mentation of the timing of septic shock.Methods:Patients with septic shock in July 2013 ~ July 2015 were treated 56 cases were randomly divided into observation group and control group,on the basis of convention-al therapy,enteral nutrition delay the implementation of the control group,the observation group implemen-tation of early enteral nutrition,comparative clinical effectiveness and prognosis of the two groups of pa-tients.Results:After treatment,the SOFA score was significantly lower than the control group,complica-tions,MODS incidence and multiple surgeries rate than the control group,ICU length of stay and duration of mechanical ventilation was significantly shorter than the control group (P <0.05),above the differences were statistically significant.Conclusion:Early enteral nutrition can improve the prognosis of septic shock, reduce complications,MODS and repeated surgery occurs,shorten treatment time,clinical application of en-teral nutrition is better than delayed more desirable.