ICU危重患者预后与早期胃肠营养干预的相关性分析

The correlation analysis about prognosis and early gastrointestinal nutritional intervention for ICU critically ill patients

目的对ICU危重患者预后与早期胃肠营养干预的相关性进行分析。方法选取2010年6月至2011年12月进行治疗的378例ICU危重患者，其中260例ICU危重患者作为治疗组，在采取常规药物治疗的基础上，给予相应的营养护理与支持（早期营养干预24h内实施）；其余118例作为对照组，给予常规治疗和常规护理。对2组患者的营养指标及相关性进行分析。结果2组患者在治疗后，其血清前白蛋白、蛋白摄入量、血红蛋白、胆固醇量等，与自身治疗前检测情况相比均有显著差异，但治疗组各项指标的改善程度较对照组更加显著。各指标间，胆固醇量与蛋白摄入量具有显著的相关性。结论将胃肠营养护理应用在ICU危重患者的日常护理中可以有效地提高患者体内血红蛋白等的水平，降低患者的死亡率及并发症的发生率，因此有必要对其进行临床推广。

Objective To analyze the correlation of prognosis and early gastrointestinal nutritional intervention of critically ill ICU patients. Methods 378 cases of critically ill ICU patients from June 2010 to December 2011 were selected. 260 cases of critically ill ICU patients were set as the treatment group, who were given appropriate care and nutritional support （early nutritional intervention was imple- mented within 24 hours） on the basis of conventional drug therapy. The remaining 118 cases were named as the control group, who received conventional therapy and conventional care. The nutritional items and their correlation were analyzed. Results After treatment, the items such as serum pre-albumin, protein intake, hemoglobin, and cholesterol were significantly different from those before treatment in both groups, and the improvement degree was higher in the treatment group than those in the control group. The cholesterol level was correlated with protein intake. Conclusions The application of early gastrointestinal nutritional inter- vention in critically ill ICU patients can effectively improve the hemoglobin level, reduce mortality and the incidence rate of complications, so it is necessary to be applied in clinic.