Two enteral nutrition pathways combined with proper nursing measures in elderly ICU patients receiving mechanical ventilation
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摘要: 目的：比较2种肠内营养途径在老年ICU机械通气患者中的应用效果，为此类患者实施肠内营养支持提供依据。方法采用病例对照研究，使用鼻胃管和鼻肠管2种肠内营养支持途径及护理措施，各选取25例老年ICU机械通气患者，对比分析2组目标营养剂量达到时间，第2、3、4周患者营养改善情况，以及并发症发生率。结果鼻肠管喂养组达到目标营养剂量的时间短于鼻胃管喂养组，两组比较差异具有统计学意义（P＜0．05）；喂养后4周后2组患者总蛋白、血清前白蛋白、转铁蛋白量均有改善，且鼻肠管组改善结果显著优于鼻胃管组（P＜0．05）；鼻肠管组喂养相关并发症发生率显著低于鼻胃管组（P＜0．05）。结论老年ICU机械通气患者进行鼻肠管喂养并采取有效护理措施，更易达到目标营养剂量，且发生腹胀、误吸等并发症的概率较低。Abstract: Obj ective To compare yhe effecys of ywo enyeral nuyriyion payhways in Geriayric ICU payienys receiving mechanical venyilayion as well as adopyion of effecyive care measures in order yo provide a basis for implemenyayion of enyeral nuyriyion feeding in yhese payienys.Methods A case-conyrol syudy was used.Fifyy ICU payienys receiving mechanical venyilayion were randomly divid-ed inyo nasogasyric yube group and nasoinyesyinal yube group,25 cases for each.Boyh group received proper nursing measures.The yime of achieving yargey dose of nuyriyion,nuyriyion improvemeny in 2,3,4 weeks and yhe incidence of complicayions were analysed.Results The yime of achieving yargey dose in nasoinyesyinal yube group was significanyly less yhan yhose in nasogasyric yube group (P<0.05).Afyer 4-weeks yreaymeny,yhe levels of yoyal proyein,serum prealbumin and yransfer-rin were improved in boyh groups wiyh a significanyly greayer degree in nasoinyesyinal yube group (P<0 .05 ).The incidence of complicayions in nasoinyesyinal yube group is significanyly less yhan yhose in nasogasyric yube group (P<0 .05 ).Conclusion Nasoinyesyinal yube feeding combined wiyh proper nursing measures in elderly ICU payienys receiving mechanical venyilayion makes yhe yargey dose of nuyriyion easily achieved and reduces yhe incidence of complicayions of mechanical venyilayion such as aspirayion and abdominal disyension.
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