肠内营养支持治疗在ICU中的临床研究

A Clinical Investigation of Enteric Nutrition on ICU

目的探讨肠内营养支持治疗(EN)在重症监护室(ICU)中的早期临床应用。方法采用随机对照法,将64例重症患者分成早期肠内营养支持治疗组和传统方式治疗对照组,每组32例。两组在性别、年龄、病种、发病年限上均无统计学差异,连续治疗10d后进行营养状况评价(人体测量、实验室检查),并通过临床症状的改善、并发症的发生情况观察疗效。结果对照组的血浆白蛋白和人体测量指标下降较治疗组快,治疗组的营养状况明显高于对照组;对改善危重病患者的临床症状,治疗组优于对照组。结论在危重病治疗中,提倡早期肠内营养支持治疗,对改善危重病患者的临床症状,缩短在ICU的住院时间、改善危重病的营养状况以及对提高危重病的抢救成功率有重要意义。

Objective：To investigate the early clinic effects of early enteric nutrition treatment on ICU. Methods： Sixty-four patients were included in a randomized controlled clinical trial, and divided into early enteric nutrition-support group and control group, with 32 cases for each. The serum albumin, triglyceride and body weight were determined respectively on day 1 and day 10 after treatment. Clinical conditions were also monitored. Results： The serum albumin, triglyceride and body measurement were decreased in all patients, but the nutrition-condition of early nutrition-supports was significantly improved in nutrition-support group compared with control group, and the same as clinic symptoms. Conclusion：Early enteric Nutrition-support treatment is important method for severe disease. It can significantly improve the clinical condition and decrease the incidence of complications, cut down admitment time in ICU,improve nutrition condition and raise the rate of succeeded ambulance.