摘要
目的探讨危重患者予以肠内营养支持与肠外营养支持序贯治疗的价值。方法回顾性分析武汉科技大学附属普仁医院重症医学科2020年2月至2021年1月收治的72例危重患者,根据治疗方法不同分为对照组和观察组,每组各36例。对照组行常规的肠内营养支持,观察组基于对照组开展肠内营养支持与肠外营养支持序贯治疗。分析两组患者的营养状况,统计并比较干预前后血清总蛋白、转铁蛋白、血清白蛋白、前清蛋白及血红蛋白等具体营养指标;统计两组患者的体重及ICU入住时间;分析两组患者的并发症发生情况。结果观察组干预后的血清白蛋白、前清蛋白、血清总蛋白、转铁蛋白及血红蛋白均高于对照组,ICU入住时间短于对照组,且体重更优,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对危重患者选用肠内营养支持与肠外营养支持序贯疗法,利于改善患者营养状况,并控制并发症发生风险,值得临床采纳推行。
Objective To investigate the value of sequential therapy of enteral nutrition support and parenteral nutrition support for critically ill patients.Methods A total of 72 critically ill patients admitted to and treated in Intensive Care Unit of Puren Hospital Affiliated to Wuhan University of Science and Technology from February 2020 to January 2021 were retrospectively analyzed.They were divided into the control group(n=36)and the observation group(n=36)according to different treatment methods.The control group was treated with conventional enteral nutrition support,while the observation group was treated with sequential therapy of enteral nutrition support and parenteral nutrition support based on the control group.The nutritional status of the two groups of patients was analyzed,and the specific nutritional indices such as serum total protein,transferrin,serum albumin,prealbumin and hemoglobin before and after intervention were counted and compared.The weight and ICU hospitalization time of patients in the two groups were counted.The complications of the two groups of patients were analyzed.Results After the intervention,the indices of serum albumin,prealbumin,total serum protein,transferrin and hemoglobin in the observation group were all higher than those in the control group,the ICU hospitalization time was shorter than that in the control group,and the weight was superior,with statistically significant differences(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Sequential therapy of enteral nutrition support and parenteral nutrition support for critically ill patients is beneficial to improve the nutritional status of patients and control the risk of complications,which is worthy of clinical adoption and implementation.
作者
贾亚杰
姚明
JIA Yajie;YAO Ming(Intensive Care Unit,Puren Hospital Affiliated to Wuhan University of Science and Technology,Hubei,Wuhan 430081,China)
出处
《中国医药科学》
2022年第11期187-189,196,共4页
China Medicine And Pharmacy
关键词
肠内营养
肠外营养
危重
序贯疗法
Enteral nutrition
Parenteral nutrition
Critical
Sequential therapy
