肠内营养及其添加剂在重症患者治疗中的作用

营养支持是重症患者综合治疗的一个重要环节,营养方式首选肠内营养。重症监护治疗病房(ICU)患者的肠内营养支持,要明确实施的时间、能量目标、实时评估肠内营养耐受性,从而选择最适合的方案。早期在肠内营养中添加益生菌可以有效维持肠内菌群平衡、防止肠黏膜屏障破坏、促进和改善消化道蠕动及吸收、增强机体免疫力,从而有效降低医院内感染,特别是呼吸机相关性肺炎的发生率。

Effect of Enteral Nutrition and Additive in the Treatment of the Critically Ill Patients

Nutritional support is an integral part of the treatment of the critically ill patients.Enteral feeding is the preferred way of nutrition supportfor intensive care unit（ICU） patients.To define the time for starting the feeding,determine the calorie target,and monitor tolerance of enteral feeding are what should be done to choose the most appropriate therapy of enteral nutrition for ICU patients.Early enteral nutrition with probiotics can keep balance of gut flora,maintain the gut barrier functionality,regulate the gastrointestinal tract functions of peristalsis and assimilation,and support the immune system response,so as to effectively reduce the nosocomial infection rate,especially the incidence of ventilator-associated pneumonia.