危重患者的肠道营养支持应用分析

目的:观察肠道营养支持对ICU危重患者的治疗效果。方法:ICU危重患者50例,随机分为肠道营养组25例和肠外营养组25例,分别给予相同热量和氮量的肠内或肠外营养制剂。两组患者均于营养支持前与营养支持第9天检测血清白蛋白、前蛋白、血红蛋白及上臂肌围和三头肌皮皱厚度。结果:肠道营养支持后,血清白蛋白、前白蛋白增高(P<0.01);两组对比肠道营养支持后患者的血清前蛋白和白蛋白均高于肠外营养支持后(P<0.01),而血红蛋白、上臂肌围和三头肌皮皱厚度差异均无统计学意义(P>0.05)。结论:与肠外营养支持相比,肠道营养支持可明显改善危重患者的营养状况。

Enteral and parenteral nutrition support for criticall illness patients

Objective:To investigate the remedial effect of enteral nutrition(EN) on ICU patients.Methods:Fifty ICU patients were randomly assigned to EN group and parenteral nutritional(PN) group as control,with 25 patients in each.Both EN and PN groups were given preparations of the same amount of colorie and nitrogen.Before and 9 days after nutritional support,their serum albumin,serum forealbumin and hemoglobin levels,as well as the thickness of skin fold at musculus triceps brachii and muscular perimeter of the ar...