输液恒温器在泵式肠内营养治疗中的作用

Clinical Application of Infusion Thermostat for Continuous Enteric Nutrition

目的观察采用输液恒温器加热营养液在肠内营养中的作用。方法选取85例入住ICU病房且用肠内营养泵行肠内营养支持的患者:其中40例患者肠内营养过程中没有加热营养液,为对照组;45例患者肠内营养过程中使用输液恒温器加热营养液,为观察组。比较两组患者肠内营养过程中腹部不适并发症的发生率及营养前后体重变化、血清白蛋白水平变化。结果对照组患者腹部不适并发症发生率为22.5%,观察组为2.2%,两组间比较有明显差异(P<0.01);观察组患者体重增加量、血清白蛋白水平提升程度均高于对照组,两组间比较有明显差异(P<0.05)。结论输液恒温器可减少腹部不适并发症的发生率,增强营养支持效果。

Objective To observe the clinical effect of infusion thermostat for continuous enteric nutrition. Methods 85 intensive care patients who received continuous enteric nutrition were divided into the observation group and the control group. 40 patients in the control group received enteric nutrition of room temperature and 45 patients in the observation group received enteric nutrition of constant temperature kept by infusion thermostat. The occurrence rates of abdominal discomfort during enteric nutrition, the weight changes and changes of serum albumin concentration before and after enteric nutrition between the two groups were compared. Results There was statistical difference in occurrence rates of abdominal discomfort during enteric nutrition between two groups （22.5% in control group vs. 2.2% in observation group, P〈0.01）. The weight gain, upgrade degree of serum albumin level in the observation group were higher than those in the control group, the differences were statistically significant （P 〈0.05）. Conclusions The application of infusion thermostat for continuous enteric nutrition reduces the occurrence rate of abdominal discomfort during enteric nutrition and strengthens the effect of nutritional support.