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

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...

Feedforward-controlled enteral nutrition support combined with daily arousal for patients undergoing mechanical ventilation

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.