危重症肠内加肠外营养支持的护理研究

Study on the nursing parenteral and enteral nutrition support for acute critically ill patients

目的 探讨肠内加肠外营养支持在危重病患者中的合理应用。方法 对186例收住ICU的危重病患者随机分成肠外营养组(PN)87例,肠内加肠外营养组(EN+PN)99例,观察两组不同营养支持方法的效果及并发症发生情况,并对监测结果进行统计学处理。结果 单纯PN组并发症高,易发生高血糖及肝功能损害,维持营养状态效果差,最终导致胃肠功能衰竭。而EN+PN组并发症少,疗效高,降低了MODS发生率。结论 对危重病人早期实施EN+PN营养支持,不仅可有效防治胃肠功能衰竭,同时在降低危重病人的病死率,减少并发症和促进患者康复方面均起到重要作用。

Objective To investigate effects of parenteral and enteral nutrition support for acute critically ill patients on clinic use, and aim at raising heal rate of patients. Methods 186 cases patients from intensive care unit were selected and randomly divided into parenteral nutrition (PN) group (n=87) and enteral nutrition (EN) plus PN group (n=99), The result and complication of patients were observed and analyzed statistically. Results The rate of complication and MODS in EN+PN support group was lower than that in PN support group. Conclusion Using early treatment of EN+PN support can prevent gastrointestinal dysfunction and reduce the complication and mortality. This measure can help patient's recovery.