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基于前馈控制的肠内营养支持联合每日唤醒在机械通气患者中应用效果分析
引用本文:潘海萍,何平. 基于前馈控制的肠内营养支持联合每日唤醒在机械通气患者中应用效果分析[J]. 国际医药卫生导报, 2022, 28(9): 1317-1320. DOI: 10.3760/cma.j.issn.1007-1245.2022.09.032
作者姓名:潘海萍  何平
作者单位:无锡市第二人民医院重症医学科,无锡 214000
摘    要:目的:探讨机械通气患者应用基于前馈控制的肠内营养支持联合每日唤醒的效果分析。方法:选取2019年11月至2020年11月在无锡市第二人民医院进行机械通气治疗的80例患者,采用随机数字法将其分为对照组和试验组,每组40例。对照组男26例,女14例,年龄(46.35±2.37)岁;试验组男28例,女12例,年龄(48.26...

关 键 词:前馈控制理论  肠内营养支持  每日唤醒  机械通气
收稿时间:2022-02-04

Feedforward-controlled enteral nutrition support combined with daily arousal for patients undergoing mechanical ventilation
Pan Haiping,He Ping. Feedforward-controlled enteral nutrition support combined with daily arousal for patients undergoing mechanical ventilation[J]. International Medicine & Health Guidance News, 2022, 28(9): 1317-1320. DOI: 10.3760/cma.j.issn.1007-1245.2022.09.032
Authors:Pan Haiping  He Ping
Affiliation:Departmentof Critical Care Medicine, Wuxi Second People's Hospital, Wuxi 214000, China
Abstract:Objective To investigate theeffect of feedforward-controlled enteral nutrition support combined with dailyarousal for patients undergoing mechanical ventilation. Methods From September 2019 toSeptember 2020, 80 patients treated by mechanical ventilation in Wuxi SecondPeople's Hospital were selected, and were divided into a control group and anexperimental group by the random number table method, with 40 cases in eachgroup. The control group had 26 males and 14 females, and were (46.35±2.37)years old. The experimental group had 28 males and 12 females, and were(48.26±3.16) years old. Routine nursing intervention was given to the controlgroup, and the experimental group was given enteral nutrition support based onfeedforward control and daily arousal. The nutritional status, the degrees ofenteral nutrition tolerance, sedation treatment times, mechanical ventilationtimes, and ICU hospitalization times were compared between the two groups.Independent-Sample t and χ2 tests were applied. Results The levels of albumin, prealbumin, and hemoglobin were (38.97±7.16)g/L, (258.57±23.48) mg/L, and (134.67±14.37) g/L in the experimental group,which were significantly higher than those in the control group (all P<0.05). The incidence of poorenteral nutrition intolerance in the experimental group was significantly lowerthan that in the control group [2.5% (1/40) vs. 27.5% (11/40); χ2=9.804, P=0.002]. The sedation time,mechanical ventilation time, and ICU stay in the experimental group were(4.68±2.67) days, (6.16±3.49) days, and (6.94±4.67) days, which weresignificantly less than those in the control group (all P<0.05). Conclusion Feedforward controlled enteral nutrition support combined with dailyarousal for patients taking mechanical ventilation can ensure adequatenutrition, reduce the occurrence of delirium, and promote their recovery.
Keywords:Feedforward control theory  Enteral nutrition support  Daily arousal  Mechanical ventilation
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