摘要
目的探讨实施肠内营养并发胃潴留规范化处理流程对危重症患者喂养达标率的影响。方法选取2016年1月—2018年3月于湖州市第一人民医院急诊ICU住院,接受肠内营养治疗并发胃潴留的危重患者50例。按入院时间分为试验组和对照组,每组各25例。试验组接受肠内营养并发胃潴留规范化处理流程护理,对照组接受常规护理;比较两组7 d内预期喂养达标率、肠内营养占肠内与肠外营养总能量比例、促胃动力药物使用量及误吸发生率的差异,及两组ICU住院时间、28 d病死率的差异。结果试验组7 d内肠内营养预期喂养达标率高于对照组(P<0.001);肠内营养占肠内与肠外营养总能量比例高于对照组(P<0.05);促胃动力药物使用量明显低于对照组(P<0.05);两组误吸发生率、ICU住院时间及28 d病死率差异无统计学意义(P>0.05)。结论实施肠内营养并发胃潴留规范化处理流程能够提高危重患者7 d内预期喂养达标率及肠内营养占肠内与肠外营养总能量比例,降低促胃动力药物使用量,但对误吸发生率、ICU住院时间及28 d病死率无明显改变。
Objective To explore the effectiveness of the protocol for gastric retention during enteral nutrition on compliance rate of feeding in critical patients.Methods A total of 50critical patients with gastric retention during enteral nutrition admitted to EICU of Huzhou First People's Hospital were enrolled from January 2016to March 2018,and were assigned into the experimental group (n=25)and the control group (n=25)according to the time of admission.Patients in the control group received routine care,and patients in the experimental group received nursing based on the protocol for gastric retention during entcral nutrition.Differences in expected compli- ance rate of feeding within 7days,proportion of enteral nutrition in total energy from enteral and parentcral nutrition,amount of using gastroprokinetie agent,rate of aspiration,length of ICU stay,and 28-day mortality were compared between two groups.Results Compared with the eontrol group,the expected compliance rate of feeding within 7days in the experimental group was higher (P<0.001),the proportion of enteral nutrition in total energy from enteral and parenteral nutrition in the experimental group was higher (P<0.05),the amount of using gastro- prokinetic agent in the experimental group was significantly less (P<0.05).There was no significant difference in rate of aspiration,length of ICU stay,and 28-day mortality between two groups(P>0.05).Conclusion The protocol for gastric retention during enteral nutrition can increase expected compliance rate of feeding within 7days and proportion of enteral nutrition in total energy from enteral and parenteral nutrition,decrease the use of gastroprokinetic agent,but it cannot significantly change the rate of aspiration,length of ICU stay and 28-day mortality.
作者
吴白女
潘慧斌
黄培培
史平
米元元
傅恺
嵇朝晖
WU Bainii;PAN HUlbin;HUANG Peipei;SHI Ping;MI Yuanyuan;FU Kai;JI Zhaohui
出处
《中华护理杂志》
CSCD
北大核心
2018年第12期1458-1462,共5页
Chinese Journal of Nursing
基金
湖州市科学技术局项目(2017GY36)
关键词
重症监护
肠道营养
胃肌轻瘫
喂养达标率
Intensive Care
Enteral Nutrition
Gastroparesis
Diet Volume Ratio
