ICU危重患者预后与早期胃肠营养支持相关性研究

A study on the correlation between the prognosis of critically ill patients in ICU and early enteral nutrition support

目的:探讨ICU危重患者预后与早期胃肠营养支持的相关性研究。方法:将378例ICU危重患者随机分为观察组260例和对照组118例,对照组给予常规治疗和护理,观察组在此基础上给予早期胃肠营养支持,观察比较两组营养指标并进行相关性分析。结果:两组治疗后血红蛋白、血清前白蛋白、蛋白摄入量、胆固醇量与治疗前比较差异有统计学意义(P<0.05),观察组营养指标与对照组比较差异有统计学意义(P<0.05);胆固醇量与蛋白摄入量具有显著相关性(P<0.05)。结论:在ICU危重患者的日常护理中给予早期胃肠营养支持,可有效地提高血红蛋白、血清前白蛋白、蛋白摄入量等水平,降低病死率及并发症的发生率,值得临床推广应用。

Objective： To study the correlation between the prognosis of critically ill patients in ICU and early enteral nutrition support.Methods： 378 ICU patients were randomly divided into the observation group（ n = 260） and the control group（ n = 118）. The patients in the control group were given conventional treatment and nursing care and the patients in the observation group were additionally given early enteral nutrition support. The nutritional indexes of the patients were observed and compared between the two groups and the correlation was analyzed. Results： There were statistically signifcant differences in the comparison of hemoglobin,serum albumin,protein intake and cholesterol levels after treatment with those before treatment in the two groups（ P〈0. 05）; the comparison of nutritional index of the patients was significantly different between the two groups（ P〈0. 05）; the cholesterol levels were significantly correlated with protein intake（ P〈0. 05）. Conclusion： The early enteral nutrition support in the daily care of critically ill patients in ICU can effectively improve the level of hemoglobin,serum albumin and protein intake,and it can reduce the fatality rate and the incidence of complications.