Comparative analysis of early enteral nutrition with total parenteral nutrition in severe ICU patients
ICU重症患者早期肠内营养与全肠外营养的比较分析

摘要

目的 探讨对于ICU重症患者而言早期进行肠内营养、全肠外营养的效果。方法 选取2020年9月-2021年10月本院接收的58例ICU重症患者进行研究，将进行早期肠内营养的29例患者纳入观察组，将接受肠外营养的患者（29例）列入对照组，分析两组营养状态变化情况、临床指标。结果 治疗后，观察组的TP、PA、Hb分别为（70.02±6.21）g/L、（38.99±2.81）mg/L、（129.34±8.78）g/L，较对照组的（57.15±5.67）g/L、（30.38±2.49）mg/L、（105.25±8.15）g/L高；观察组的机械通气、入住ICU时间分别为（9.89±1.62）d、（15.89±2.24）d，较对照组的（15.49±2.34）d、（20.25±3.16）d短，MNA评分为（25.49±2.18）分，较对照组的（18.75±2.02）分高；均P＜0.05。结论 相较于肠外营养，予以ICU重症患者早期肠内营养能够有效改善其营养状态，缩短机械通气与入住ICU时间。

Abstract

Objective: To explore the effect of early enteral nutrition and total parenteral nutrition for severe ICU patients.
Methods: 58 severe ICU patients received from September 2020 to October 2021 were selected for study, 29 patients with early enteral nutrition were included in the observation group, and the patients receiving parenteral nutrition (29 patients) were included in the control group, and the nutritional status changes and clinical indicators of the two groups were analyzed. Result: After the treatment, The TP, PA, and Hb of the observation group were (70.02 ± 6.21) g / L, (38.99 ± 2.81) mg/L, and (129.34 ± 8.78) g / L, respectively, Higher than the (57.15 ± 5.67) g / L, (30.38 ± 2.49) mg/L, and (105.25 ± 8.15) g / L of the control group; The mechanical ventilation and the ICU stay time of the observation group were (9.89 ± 1.62) d and (15.89 ± 2.24) d, respectively, Less short than the (15.49 ± 2.34) d and (20.25 ± 3.16) d of the control group, The MNA score is a (25.49 ± 2.18) score, Higher score than that of the control group (18.75 ± 2.02); All cases were P <0.05.
Conclusion  : Compared with parenteral nutrition, giving early enteral nutrition in severe ICU patients can effectively improve their nutritional status and shorten the time of mechanical ventilation and ICU admission.