生态营养支持在机械通气鼻饲患者中的应用观察

Application of ecological nutrition support in nasal feeding patients taking mechanicalventilation

目的探讨生态营养支持在机械通气鼻饲患者中的应用效果及护理经验。方法选择2019年5月1日至2020年4月1日本院ICU机械通气鼻饲患者66例,采用随机数字表法等分为两组,各33例。对照组予传统肠内营养支持,生态营养组在肠内营养支持基础上增加益生菌;观察期为2周,干预前后分别统计两组患者血清蛋白指标、机械通气时间和并发症发生例数。结果生态营养组白蛋白、血红蛋白、总蛋白指标分别为(37.81±0.96)g/L、(98.35±2.16)g/L、(61.07±2.27)g/L,均高于对照组(29.98±1.34)g/L、(87.57±2.12)g/L、(50.70±2.68)g/L,差异均有统计学意义(均P<0.05);生态营养组并发症发生率为3.03%(1/33),低于对照组42.42%(14/33),差异有统计学意义(P<0.05);生态营养组机械通气时间为(7.06±2.05)d,明显短于对照组(9.82±1.93)d,差异有统计学意义(P<0.05)。结论在机械通气鼻饲患者中添加了益生菌,可改善患者营养状况、减少并发症和缩短机械通气时间。

Objective To explore the application effect and nursing experience of ecological nutrition support in nasal feeding patients taking mechanical ventilation.Methods From May 1,2019 to April 1,2020,66 patients were selected,and were divided into a control group and an ecological nutrition group by the random number table method,with 33 cases in each group.The control group was given traditional enteral nutrition;in addition,the ecological nutrition group took probiotics.The observation period was 2 weeks.Before and after the intervention,the serum protein indicators,the mechanical ventilation times,and the incidences of complications were compared between the two groups.Results The albumin,hemoglobin,and total protein were higher in the ecological nutrition group than in the control group[(37.81±0.96)g/L vs.(29.98±1.34)g/L,(98.35±2.16)g/L vs.(87.57±2.12)g/L,and(61.07±2.27)g/L vs.(50.70±2.68)g/L;all P<0.05].The incidence of complications was lower and the mechanical ventilation time was shorter in the ecological nutrition group than in the control group[3.03%(1/33)vs.42.42%(14/33)and(7.06±2.05)d vs.(9.82±1.93)d;both P<0.05].Conclusion Probiotics for nasal feeding patients taking mechanical ventilation can improve their nutritional status and reduce their complications and mechanical ventilation time.