重症脑血管病患者营养治疗导管感染分析

Analysis of nutrition therapy related ductal infection in patients with critical cerebrovascular disease

目的分析重症脑血管病患者营养相关管路感染的特点。方法选取2019年1月-2022年6月在云南省第一人民医院接受治疗的重症脑血管病患者110例进行研究,按是否耐受肠内营养分为肠内营养组和肠外营养组,肠内营养组按是否合并消化道出血分为抑酸治疗组和非抑酸治疗组,比较各组间的细菌感染谱是否存在差异。结果肠内营养组营养治疗管路细菌培养均为阴性(0/80),肠外营养治疗组血培养结果(2/30)与肠内营养组(0/80)的差异有统计学意义,但无法证实与营养治疗直接相关。结论肠内营养具有较高的安全性;肠外营养需更加注重感染的风险控制。

Objective To analyze the characteristics of tube infections related to nutrition therapy in patients with critical cerebrovascular disease.Methods A total of 110 patients with critical cerebrovascular disease who were treated in our hospital from January 2019 to June 2022 were selected for the research.They were divided into enteral nutrition group and parenteral nutrition group according to tolerance to enteral nutrition.The enteral nutrition group was divided into acid suppressive treatment and non-acid suppression treatment according to whether there was alimentary tract hemorrhage,and the bacterial infection spectrum was compared between the groups to see if there were differences.Results Bacterial cultures in the nutritional treatment pipeline of the enteral nutrition group were negative,and the difference in blood culture results between the parenteral nutrition treatment group and the enteral nutrition group was statistically significant,but it could not be direcdy confinned that it related to nutritional treatment.Conclusions Enteral nutrition has high safety.We should pay more attention to the risk control of infection of parenteral nutrition.