|
|
Effect of different tube feeding methods on enteral nutrition support intervention in ICU patients with ventilator-assisted ventilation |
ZHONG Hui LYU Yuying LI Xiujuan#br# |
Respiratory Intensive Care Unit, Shijingshan Hospital, Beijing Chaoyang Hospital Affiliated to the Capital Medical University, Beijing 100043, China
|
|
|
Abstract Objective To investigate the effect of different tube feeding methods on enteral nutrition support intervention in ICU patients with ventilator-assisted ventilation. Methods Ninety-eight patients with ICU ventilator-assisted ventilation treated in Shijingshan Hospital, Beijing Chaoyang Hospital Affiliated to the Capital Medical University from January 2020 to December 2022 were selected and divided into group A (49 cases) and group B (49 cases) according to random number table method. Group A received traditional enteral nutrition support intervention through nasogastric tube, while group B received enteral nutrition support intervention through nasogastric tube. The nutritional status, respiratory function, and complications of the two groups were observed. Results After intervention, haemoglobin and albumin levels in two groups were higher than those before intervention, while those of group B were higher than those of group A, and the differences were statistically significant (P<0.05). After intervention, there was no significant difference in respiration rate between the two groups (P>0.05). The level of tidal volume in two groups was higher than before intervention, and the level in group B was higher than that in group A, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of diarrhea and pulmonary infection between the two groups (P>0.05). The incidence of food reflux and gastric retention in group B was lower than that in group A, and the difference was statistically significant (P<0.05). Conclusion Compared with the traditional nasogastric tube, nasojejunal nutrition intervention has more advantages and safety in improving the nutritional status and respiratory function of patients treated with ventilator-assisted ventilation in ICU.
|
|
|
|
|
[1] 刘闵育,韩永生,王举红,等.适度镇静联合呼吸机无创辅助通气在急性重症心力衰竭治疗中的价值研究[J].中国实用内科杂志,2021,41(8):720-724.
[2] 蒋玉兰,李思思,石飞飞,等.主动推进法盲插鼻空肠管在机械通气病人中的应用研究[J].肠外与肠内营养,2019, 26(4):233-237.
[3] 龚贝贝,韦彩云,吴锋耀,等.艾滋病机械通气病人早期肠内营养管理方案实施效果评价[J].护理研究,2022,36(20):3592-3597.
[4] 叶向红,宫雪梅,薛阳阳.早期肠内营养护理方案对重症病人热卡达标率及喂养不耐受的前后对照研究[J].肠外与肠内营养,2021,28(4):230-235.
[5] 刘宇,徐君,郑孝瑜,等.经鼻空肠内营养防治老年人呼吸机相关性肺炎的临床研究[J].中华危重症医学杂志(电子版),2021,14(6):472-475.
[6] 宋巍,刘心娟,杨立新,等.中度重症急性胰腺炎患者早期经鼻胃管与经鼻空肠管肠内营养的疗效对比[J].中华消化杂志,2021,41(4):260-264.
[7] 张超,罗涛,李昂,等.经鼻空肠营养管置入术中应用SIM 1导管在复杂上消化道梗阻中的疗效[J].中国医学影像学杂志,2021,29(3):271-274.
[8] 石青青,范宇莹,张悦,等.应用不同疾病严重程度评分系统进行ICU护理分级的可行性研究[J].护理研究,2020, 34(9):1506-1510.
[9] 邱小松,胡书群,叶英,等.改良临床肺部感染评分在呼吸机相关性肺炎疗效评估中的应用[J].实用医学杂志,2019,35(23):3671-3675.
[10] 吴金艳,朱顺芳,吴艳妮.机械通气病人应用鼻肠管与胃管肠内营养有效性和安全性比较的Meta分析[J].护理研究,2020,34(2):219-226.
[11] 孙丽娟,赵长海.肠内营养联合合生元制剂预防危重症病人呼吸机相关肺炎的前瞻性随机对照研究[J].肠外与肠内营养,2019,26(3):150-155.
[12] 陆春华,王凯,曾贞,等.早期个体化肠内营养在脑卒中后吞咽功能障碍患者中的应用效果[J].中国医药导报,2021,18(35):117-120.
[13] 吴咏梅,邓霞,吴珮毓.肠内营养支持联合个性化护理模式用于降低老年卧床患者压疮发生率的效果[J].中国医药导报,2020,17(13):189-192.
[14] 刘娟,冯秀,白晶莹.肠内营养不同递增输注速度对重症急性胰腺炎患者的影响[J].中国医药导报,2020,17(7):102-105.
[15] 张佳佳,顾宇丹,施炜.盲插鼻空肠管与传统经鼻置管在重型颅脑损伤患者营养支持中的应用效果对比[J].实用医学杂志,2019,35(6):1000-1002.
[16] 沈红璋,包涵,金杭斌,等.鼻胆管引流联合鼻空肠营养管在老年重症急性胆管炎患者中的临床应用[J].中华消化内镜杂志,2021,38(10):817-822.
[17] 周方,王瑞锋,李素丽,等.危重症患儿床旁胃镜引导下放置鼻空肠管及肠内营养的应用[J].中国急救医学,2021,41(1):37-40.
[18] 王慧君,叶向红,张锐,等.外科重症患者早期肠内营养误吸状况及影响因素研究[J].护理学杂志,2021,36(7):63-65.
[19] 孙文静,谢莉玲,陈丽梅,等.经鼻胃管营养支持病人并发误吸的影响因素分析[J].肠外与肠内营养,2020,27(6):363-367.
[20] 刘洋,林佳佳,高堃,等.重症病人肠内营养支持治疗营养风险与临床预后相关性研究[J].中国实用外科杂志,2021,41(9):1033-1037.
[21] 陈琳,谌艳芳,余爱华,等.神经内科危重症病人肠内营养喂养不耐受现状及其影响因素[J].护理研究,2021, 35(7):1285-1289.
[22] 张滢滢,王海芳,王玉宇,等.ICU不同进食方式的患者误吸发生现状及特征比较[J].中华护理杂志,2022,57(3):265-271.
[23] 蓝鹏,刘广飞,张赛赛.早期肠内营养支持对重症脑出血患者术后并发症的影响[J].中国医药科学,2021,11(12):162-165.
[24] 蔡毅,占凌辉.早期肠内营养支持疗法在重症脑出血患者中的应用效果及安全性[J].中国当代医药,2022,29(6):42-44.
[25] 李彩惠.肠内营养支持治疗对食管癌放化疗患者营养状态及生存质量的影响[J].中外医学研究,2023,21(15):28-31.
[26] 张白羽.基于Orem自护模式联合肠内营养支持对食管癌化疗老年患者肠黏膜屏障功能的影响[J].中国医学创新,2023,20(7):98-102.
[27] 许秀娟,张庚,胡马洪,等.临床营养支持方式对机械通气效果的影响[J].中华危重病急救医学,2018,30(3):262- 265.
[28] 沈倩倩,章毅,陈晓飞,等.3例婴幼儿误服纽扣电池致继发性气管食管瘘行鼻空肠置管的护理[J].护理研究,2022,36(5):907-909.
[29] 练敏,吴润秋,金玉,等.经胃镜辅助放置鼻空肠营养管给予肠内营养液在儿科重症疾病中的应用[J].中华临床营养杂志,2018,26(6):344-348. |
|
|
|