营养耐受性分级下肠内营养支持在CCU急性心肌梗死患者药物治疗期间的效果

Effect of Enteral Nutrition Support Under Nutritional Tolerance Classification During Drug Treatment in Patients with Acute Myocardial Infarction in CCU

目的:探究营养耐受性分级下肠内营养支持在急性心肌梗死患者药物治疗中的应用价值。方法:选取2023年1月—2024年6月我院接受治疗的CCU急性心肌梗死患者104例,运用抽签法平均分为两组。所有患者均应用双歧杆菌三联活菌胶囊治疗,参照组应用常规肠内营养干预,研究组应用营养耐受性分级下肠内营养支持干预。对比两组营养不耐受情况、营养指标、炎症指标、热卡达标率。结果:研究组恶心呕吐、腹痛、腹胀、腹泻发生率低于参照组(P<0.05);研究组干预后白蛋白、前白蛋白水平高于参照组(P<0.05);研究组干预后C反应蛋白水平低于参照组,淋巴细胞水平高于参照组(P<0.05);研究组7 d达标率高于参照组(P<0.05)。结论:营养耐受性分级下肠内营养支持干预联合双歧杆菌三联活菌胶囊可有效改善CCU急性心肌梗死患者的营养状态,提高免疫状态,预防营养不耐受,干预效果显著,值得临床应用。

Objective:To explore the application value of enteral nutrition support nursing combined with Bifidobacterium triple viable capsule in patients with acute myocardial infarction in CCU under nutritional tolerance classification.Methods:A total of 104 patients with acute myocardial infarction in CCU who were treated in our hospital from January 2023 to June 2024 were selected and divided into two groups by drawing lots.All patients were treated with Live Combined Bifidobacterium,Lactobacillus and Enterococcus Capsules,Oral.The reference group was treated with routine enteral nutrition nursing,and the study group was treated with enteral nutrition support nursing under nutritional tolerance grading.The nutritional intolerance,nutritional indicators,inflammatory indicators,and calorie compliance rate were compared between the two groups.Results:The incidence of nausea and vomiting,abdominal pain,abdominal distension and diarrhea in the study group was lower than that in the reference group(P<0.05).After nursing,the levels of albumin and prealbumin in the study group were higher than those in the reference group(P<0.05).After nursing,the level of C-reactive protein in the study group was lower than that in the reference group,and the level of lymphocytes was higher than that in the reference group(P<0.05).The 7 d compliance rate of the study group was higher than that of the reference group(P<0.05).Conclusion:Enteral nutrition support nursing combined with bifidobacterium triple viable capsule under nutritional tolerance grading can effectively improve the nutritional status of patients with acute myocardial infarction in CCU,improve the immune status,prevent nutritional intolerance,and the nursing effect is significant,which is worthy of clinical application.