摘要
目的:分析肠内营养结合补充性肠外营养在重症患者营养治疗中的应用效果。方法:选取2015年10月-2017年10月在本院普通外科、重症医学科收治的符合纳入标准的重症患者102例,按照随机数字表法将其分为单纯肠内营养治疗组(对照组)和肠内营养结合补充性肠外营养治疗组(试验组),每组各51例。比较两组入院第1、4天及治疗1周后的前白蛋白、血肌酐、上臂围营养评估指标及患者感染性疾病的发生率、死亡率。结果:两组患者入院第1、4天的前白蛋白、血肌酐、上臂围比较,差异均无统计学意义(P>0.05)。治疗1周后试验组前白蛋白、血肌酐均明显高于对照组,差异均有统计学意义(P<0.05);但两组上臂围比较,差异无统计学意义(P>0.05)。试验组感染性疾病发生率明显低于对照组,差异有统计学意义(P<0.05);两组死亡率比较,差异无统计学意义(P>0.05)。结论:在肠内营养治疗的基础上,给予补充性肠外营养治疗满足患者机体需要,可以明显提高患者前白蛋白和血肌酐水平,改善患者营养状态,提高机体免疫力,降低感染性疾病的发生率。
Objective:To analyze the effect of enteral nutrition combined with supplementary parenteral nutrition in the nutritional treatment of severe patients.Method:A total of 102 severe patients who met the inclusion criteria from October 2015 to October 2017 in general surgery and intensive care department of our hospital were selected.According to the random number table method,they were divided into enteral nutrition alone treatment group(control group)and enteral nutrition combined with supplementary parenteral nutrition treatment group(experimental group),51 cases in each group.The nutritional evaluation indexes of prealbumin,serum creatinine,upper arm circumference,the incidence of infectious diseases and mortality were compared between the two groups on the 1st and fourth day after admission and after treatment 1 week.Result:There were no significant differences in prealbumin,serum creatinine and upper arm circumference between the two groups on the 1st and fourth day after admission(P>0.05).After treatment 1 week,the prealbumin and serum creatinine levels in the experimental group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).but there was no significant difference in the upper arm circumference between the two groups(P>0.05).The incidence of infectious diseases in the experimental group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).Conclusion:On the basis of enteral nutrition,supplementary parenteral nutrition treatment can meet the needs of patients with the body,can obviously improve the prealbumin and serum creatinine levels,improve patients’nutrition status,enhance immunity and reduce the incidence of infectious diseases.
作者
申丽娟
黄玉香
冷亮
陈伟平
SHEN Lijuan;HUANG Yuxiang;LENG Liang(Shenzhen Longgang Central Hospital,Shenzhen 518116,China)
出处
《中国医学创新》
CAS
2018年第19期126-129,共4页
Medical Innovation of China
关键词
肠内营养
补充性肠外营养
重症
营养治疗
Enteral nutrition
Supplementary parenteral nutrition
Severe
Nutritional treatment
作者简介
通信作者:申丽娟。
