摘要
目的：观察肠内营养在危重病中的支持效果。方法：将ＩＣＵ 中２６ 例危重患者随机分为肠内营养支持组（１４ 例）和肠外营养支持组（１２ 例），在营养支持前１ 日及营养支持第１０ 日测量三头肌皮皱厚度、上臂肌围、血清白蛋白及血红蛋白，每日计算氮平衡并观察相关并发症情况。结果：肠内营养组在三头肌皮皱厚度和上臂肌围方面与肠外营养组的支持效果大致相同（Ｐ均＞ ０．０５）；在血清白蛋白、血红蛋白及氮平衡方面则明显优于肠外营养组（Ｐ均＜ ０．０５）。结论：对于危重病患者，肠内营养在防止肠道细菌易位和防止多脏器功能衰竭中起一定的作用，且较肠外营养有更好的营养效果，并有费用低、实施方便、并发症少等优点。
Objective:To observe the effect of enteral nutrition on critically ill patients.Methods:26 critically ill patients in intensive care unit were randomly assigned to two groups,one supported with enteral nutrition (14 cases) and another with parenteral nutrition (12 cases).One day before and 10 days after nutritional support was given,the thickness of skin fold at musculus triceps brachii and muscular perimeter of the arm were measured,and serum albumin and hemoglobin levels were determined.Also,nitrogen equilibrium was calculated everyday and relative complications were recorded.Results:No differences were observed between the two groups in the thickness of skin fold at musculus triceps brachii and muscular perimeter of the arm (all P >0 05).With regard to albumin and hemoglobin levels and nitrogen equilibrium,enteral nutrition group was superior to parenteral nutrition group (all P <0 05).Conclusions:For critically ill patients,enteral nutrition plays a role in preventing bacterial translocation and subsequent multiple organ failure.Enteral nutrition has better nutritional effect in addition to the merits of low cost,less complications and easy performance.
出处
《中国危重病急救医学》
CAS
CSCD
2000年第2期116-117,共2页
Chinese Critical Care Medicine
关键词
危重病
肠内营养
肠外营养
intensive care
enteral nutrition
parenteral nutrition
