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1、危重患者早期腸內(nèi)營(yíng)養(yǎng)的臨床價(jià)值研究［摘要］目的探討早期腸內(nèi)營(yíng)養(yǎng)(EN)在危重癥患者治療中的應(yīng)用效果。方法選取2012年1月?2014年1月在本院TCU住院的60例患者作為研究對(duì)象，隨機(jī)分為研究組和對(duì)照組，各30例。研究組行早期EN治療，即在進(jìn)入ICU后的24?48h開始實(shí)施EN；對(duì)照組行常規(guī)EN治療，即在進(jìn)入ICU后的48h后開始實(shí)施EN,比較兩組的治療效果。結(jié)果研究組治療第7天的Alb和PA水平顯著高于對(duì)照組，GLU和ALT水平顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(卩〈0.05)。研究組的達(dá)標(biāo)所需時(shí)間、機(jī)械通氣時(shí)間與ICU住院時(shí)間顯著短于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(P<0
2、.05)o結(jié)論早期EN在危重癥患者治療中的應(yīng)用效果顯著，能夠明顯改善患者的各項(xiàng)生化指標(biāo)和營(yíng)養(yǎng)狀況，縮短住院時(shí)間。［關(guān)鍵詞］危重癥患者；早期；腸內(nèi)營(yíng)養(yǎng)［中圖分類號(hào)］R459.3［文獻(xiàn)標(biāo)識(shí)碼］A［文章編號(hào)］1674-4721(2015)07(c)-0028-03ClinicalvaluestudyofearlyenteralnutritionforcriticalpatientsSHTGui-fanglYANGWei2HUHong-juan31.DepartmentofClinicalNutrition,PeoplezsHospitalofJingjiangCityinJ
3、iangsuProvince,Jingjiang214500,China；2.DepartmentofCriticalCareMedicine,People1sHospitalofJingjiangCityinJiangsu卩rovince,Jingjiang214500,China；1.DepartmentofPreventiveCare,TraditionalChineseMedicalHospitalofJingjiangCityinJiangsuProvince,Jingjiang214500,China[Abstract]ObjectiveToexplore
4、theapplicationeffectofsupportivetherapyofearlyenteralnutrition(EN)inthetreatmentofcriticalpatients?Methods60patientshospitalizedinICUinourhospitalfromJanuary2012toJanuary2014wereselectedandrandomlydividedintotheresearchgroupandthecontrolgroup,30casesineachgroup.Theresearchgroupwasgivene
5、arlyENtreatment,andENwascarriedoutwithin24~48hafterenteringICU.ThecontrolgroupwasgivenregularENtreatment,andENwascarriedoutwithin48hafterenteringICU.Thecurativeeffectintwogroupswascompared.ResuItsThelevelofAlbandPAintheresearchgroupaftertreatment,atthe7t.hdayswashigherthanthatinthecontr
6、olgroup,thelevelofGLUandALTintheresearchgroupaftertreatmentatthe7thdayswaslowerthanthatinthecontrolgroup,withsignificantdifferenee(P<0.05).TherequiredtimeofreachingthetargetofEN,mechanicalventilationtimeandhospitalizeddaysinICUintheresearchgroupwasshorterthanthatinthecontrolgroup,withsi
7、gnificantdifference(P〈0.05).ConclusionTheapplicationeffectofearlyENsupportivetherapyforcriticalpatientsinsignificant,whichcanobviouslyimproveeachbiochemicalindexandnutritionalconditions,shortenhospitalizationtime.[Keywords]Criticalpatients；Ear1ystage；Enteralnutrition危重患者在嚴(yán)重應(yīng)激后機(jī)
