早期肠内营养对重症监护患者预后的影响分析

Impact of Early Enteral Nutrition on the Prognosis in ICU Patients

目的分析早期肠内营养对重症监护患者的预后影响。方法选取2010—2012年在我院重症监护患者54例,随机分为试验组和对照组,每组27例。对照组采用传统治疗(延迟肠内营养),试验组采用早期肠内营养。比较治疗14、28d血糖、外周血淋巴细胞计数等营养指标判定,及观察两组出现的不良反应状况。结果治疗14、28d,试验组血糖低于对照组,外周血淋巴细胞计数、血红蛋白高于对照组,差异均有统计学意义(P<0.05)。治疗14d后并发症试验组低于对照组(P<0.05)。评定预后(出院)较好试验组20例高于对照组14例(P<0.05)。结论重症监护患者采用早期肠内营养方法可使患者出现败血症和医院获得性肺炎的发生率降到最低,具有临床推广价值。

Objective To analyze the impact of early enteral nutrition on the prognosis in ICU patients.Methods 54 ICU patients from 2010 to 2012 in our hospital,were divided into study group（early enteral nutrition group）and controlled group（delayed enteral nutrition group） with 27 cases in each other.To compare peripheral blood lymphocyte count and other nutrition index determination,and the status of the observed two groups of adverse reactions after treatment 14,28days.Results After treatment,14,28 d the experimental blood sugar of the study group was lower than the controlled group,the peripheral blood lymphocyte count,hemoglobin was higher than the controlled group,the differences were statistically significant（P＜0.05）.Treatment of complications after 14 d was lower than the controlled group,the differences was statistically significant（P＜0.05）.Better assess the prognosis（discharge） group 14 of 20 patients was higher than the controlled group,the differences was statistically significant（P＜0.05）.Conclusion ICU patients are treated with early enteral nutrition can make patients′ sepsis and incidence of hospital-acquired pneumonia to a minimum,have clinical value.