胃残留量监测对重症患者肠内营养并发症的效果观察

The effect of monitoring residual quantity of stomach on complication of enteral nutrition on critical ill patients

目的比较采用持续经泵滴注进行肠内营养（Enteral Nutrition，EN）的机械通气病人，是否监测胃残留量，观察其胃肠道并发症的发生情况。方法选择ICU内接受机械通气、需肠内营养支持的危重患者90例，随机分成观察组48例、对照组42例。对照组采用传统持续经泵滴注方法；观察组采用2006年危重患者营养支持指导意见（草案）提出的持续经泵滴注方法，观察患者鼻饲期间有无胃肠道并发症发生。结果观察组胃肠道并发症的发生率明显少于对照组。结论2006年危重患者营养支持指导意见（草案）提出的EN方法，是适合危重症监护病房（ICU）危重病人肠内营养支持的最佳方法，值得在临床上推广使用。

Objective To compare the incidence rates of the complication of gastrointestinal tract between monitoring residual quantity of stomach group or not. Methods Ninty patients requiring mechanical ventilation and needing enteral nutrition support in ICU were randomized into observation group （ n = 48 ） and control group （ n = 42） . The control group was treated by traditional way and the observation group was treated according to the ＂ guidelines of nutritional support in critically ill patients （draft）＂ which was proposed in 2006. They were observed if the complications were happened. Results The incidence of the complications of enteral nutrition in observation group was lower than that of control group obviously. Conclusions EN which is proposed by the ＂ guidelines of nutritional support in critically ill patients （draft） ＂ in 2006 is the best way for the critical ill patients needing enteral nutrition support in ICU and worth popularizing.