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目的观察早期肠内营养治疗对危重症患者营养状况的改善情况。方法将60例危重症患者随机分为观察组和对照组各30例。观察组采用经鼻胃管泵入肠内营养乳剂(TP-HE)提供营养,对照组采用经中心静脉导管输注肠外营养制剂治疗。观察2组患者治疗10d后的营养状况及并发症的发生率。结果营养治疗10d后,2组患者的血清白蛋白、血清前白蛋白、肱三头肌皮肤皱褶厚度(TSF)均下降,且观察组此3项指标均优于对照组,差异均有统计学意义(P<0.05)。2组并发症比较差异无统计学意义(P>0.05)。结论对于危重症患者给予早期肠内营养治疗可明显改善患者营养状况,改善预后,值得在临床应用。
Objective To observe the early enteral nutrition treatment to improve the nutritional status of critically ill patients. Methods Sixty critically ill patients were randomly divided into observation group and control group, 30 cases each. The observation group was fed with enteral nutrition emulsion (TP-HE) through the nasogastric tube, and the control group with parenteral nutrition via central venous catheter. The nutritional status and the incidence of complications after 10 days of treatment in two groups were observed. Results After 10 days of nutritional therapy, the serum albumin, prealbumin, trichophyton skin folds thickness (TSF) decreased in both groups, and the three indexes in the observation group were better than those in the control group Significance (P <0.05). There was no significant difference in complications between the two groups (P> 0.05). Conclusions The early enteral nutrition therapy for critically ill patients can significantly improve the nutritional status of patients and improve the prognosis, which deserves clinical application.