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目的:研究分析较合理的提供营养支持的途径。方法:回顾性分析1130例患者的营养情况、所在科室、肠内和肠外的营养情况以及合理的营养支持途径。结果:患者在入住ICU时就出现营养不良情况的有702例,占62.1%。外科系统和内科系统的发生率分别为49.0%和48.1%。1002例患者有营养不良的隐患,比例为88.6%。营养支持选择单纯EN方法的患者占13.0%,选择联合补充(EN-r-PN)比例为74.9%,选择单纯性肠外营养(TPN)的比例为12.1%。治疗7天后,患者的血清白蛋白均增高,差异具有统计学意义(P<0.01)。结论:联合补充(EN-r-PN)的方法是为ICU患者进行营养支持的主要方式,而PN的存在有至关重要的作用。
Objective: To study and analyze the more reasonable way to provide nutrition support. Methods: A retrospective analysis of 1130 patients with nutritional status, where the department, enteral and parenteral nutrition and reasonable nutritional support approach. Results: 702 cases of malnutrition occurred in patients admitted to the ICU, accounting for 62.1%. Surgical and medical systems were 49.0% and 48.1%, respectively. 1002 cases of malnutrition risk, the ratio was 88.6%. Nutritional Support EN-r-PN alone accounted for 13.0%, EN-r-PN 74.9%, and simple ENN 12.1%. After 7 days of treatment, the patients’ serum albumin increased, the difference was statistically significant (P <0.01). CONCLUSIONS: The combination of supplementation (EN-r-PN) is the mainstay of nutritional support for patients with ICU, and the presence of PN plays a crucial role.