不同时期肠内与肠外营养联合治疗危重患者机械通气40例的治疗体会

目的:分析不同时期肠内与肠外营养联合治疗对危重患者机械通气的影响。方法:40例机械通气的危重患者早期给予肠外营养静脉支持逐渐过渡到肠内营养和常规治疗。观察记录每例患者呼吸机撤机时间、呼吸机相关性肺炎的发生率、ICU住院时间和营养支持并发症发生情况,并监测肾功、肝功及电解质等情况。结果:不同时期肠内与肠外营养联合治疗对危重患者机械通气不仅减少了呼吸机相关性肺炎的发生,使患者早期脱机,减少了患者在ICU住院时间,相对减少了并发症。结论:不同时期肠内与肠外营养联合治疗对机械通气的危重患者,不仅有利于改善全身营养状况、尽早脱机、拔管,减少并发症,改善预后。

Objective ： Analysis of different enteral and parenteral nutrition during the treatment of mechanical ventilation of critically ill patients. Methods：40 cases of early mechanical ventilation in critically ill patients given intravenous parenteral nutrition support for a gradual transition to enteral nutrition and regular treatment. Observed and recorded for each patient ventilator weaning time, ventilator - associated pneumonia incidence, ICU （ intensive care unit） length of stay and nutritional support complications, and to monitor renal function, liver function and electrolyte and so on. Results： Different periods of enteral and parenteral nutrition in critically ill patients on combination therapy not only reduces the mechanical ventilation of wentilator - associated pneumonia occurs, so that patients with early off-line, reducing the patients in the ICU length of stay, reduced complications. Conclusion ： Different periods of enteral and par- enteral nutrition combined treatment of critically ill patients on mechanical ventilation, will not only help improve the general nutritional status,offline as soon as possible, extubation, reduce complications and improve prognosis.