危重症患者胃肠内与胃肠外营养支持疗效观察

Clinical observation of EN and PN in critically ill patients

目的观察胃肠内与胃肠外营养支持对危重症(ICU)患者的治疗效果,探讨两种营养支持途径的临床价值。方法危重症患者60例,随机分为胃肠道营养组30例和胃肠外营养组30例。在治疗前及治疗15 d后对两组患者血红蛋白、总蛋白、清蛋白等营养指标进行比较。结果胃肠道营养组治疗后各项指标较治疗前增高,差异有统计学意义(P<0.05);胃肠外营养组治疗后各项指标较治疗前增高,但差异无统计学意义(P>0.05)。两组治疗后清蛋白比较,差异具有统计学意义(P<0.05)。结论胃肠内营养支持能较好的改善患者营养状况,是危重患者的理想支持方式。

Objective To observe treatment effect of EN and PN in critically ill patients,To discusses two kinds of clinical value of nutrition support way. Methods 60 cases of critically ill patients were randomly divided into EN group （ 30 ） and PN group （30）. In front of the treatment and after treatment for 15 days,hemoglobin ,blood serum proteins and nutrition indicators albumen of the two groups were compared. Results Gastrointestinal each index was fewer ten patients experienced septic complications after treatment before treatment, difference was statistically significant increased （ P 〈 0. 05 ）. Gastrointestinal outside each index was fewer ten patients experienced septic complications after treatment increased, but differences before treatment was not statistically significant （ P 〉 0. 05 ） two groups after treating albumin, comparison, a statistically signifi- cant difference （ P 〈 0. 05 ）. Conclusion Gastrointestinal inside nutrition support could better improve patients＇ nutrition, was the ideal support way in critical patients.