Clinical application of enteral nutrition in critically ill patients with mechanical ventilation
Zhang Bao-mi
Abstract
Zhang Bao-mi
Abstract
Objective:To investigate the treatment of enteral nutrition support in critically ill patients with mechanical ventilation.Methods:Uusing randomized controlled methods,81 cases of critically ill patients were divided into enteral nutrition support therapy group(EN,treatment group)and parenteral nutrition group(PN,control group).The clinical efficacy of two groups serum albumin,prealbumin,immunoglobulin IgA,hemoglobin(Hb),nitrogen balance and APACHE Ⅱ score,the incidence of VAP within 2 weeks,the success rate of weaning,mechanical ventilation and ICU stay time were compared.Results:After the treatment,serum prealbumin levels,serum albumin,immunoglobulin IgA and nitrogen balance were significantly higher in EN group than those in the control group(P0.05).APACHE Ⅱ score was significantly lower in EN group than that of the control group(P0.05).The ventilator-associated pneumonia,mechanical ventilation time,length of stay in ICU were significantly lower in EN group than those in the control group(P0.05).Conclusion:In the mechanical ventilation patients,enteral nutrition support is helpful to improve the nutritional status and prognosis.
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Objective:To investigate the treatment of enteral nutrition support in critically ill patients with mechanical ventilation.Methods:Uusing randomized controlled methods,81 cases of critically ill patients were divided into enteral nutrition support therapy group(EN,treatment group)and parenteral nutrition group(PN,control group).The clinical efficacy of two groups serum albumin,prealbumin,immunoglobulin IgA,hemoglobin(Hb),nitrogen balance and APACHE Ⅱ score,the incidence of VAP within 2 weeks,the success rate of weaning,mechanical ventilation and ICU stay time were compared.Results:After the treatment,serum prealbumin levels,serum albumin,immunoglobulin IgA and nitrogen balance were significantly higher in EN group than those in the control group(P0.05).APACHE Ⅱ score was significantly lower in EN group than that of the control group(P0.05).The ventilator-associated pneumonia,mechanical ventilation time,length of stay in ICU were significantly lower in EN group than those in the control group(P0.05).Conclusion:In the mechanical ventilation patients,enteral nutrition support is helpful to improve the nutritional status and prognosis.
Key concepts: Medicine, Mechanical ventilation, Parenteral nutrition, Nitrogen balance, Transthyretin, Weaning, Pneumonia, Enteral administration