Comparison of the effects of enteral nutrition pump infusion and intermittent push injection in nutritional support for critically ill patients
肠内营养泵入法与分次推注法在重症患者营养支持中的效果观察

摘要

目的 对比观察重症科肠内营养泵入法与分次推注法在重症患者营养支持中的治疗效果。方法 选择60例肠内营养支持的重症患者，按照治疗方式不同分为对照组和观察组，每组30人。对照组采用肠内营养分次推注法，观察组采用肠内营养泵入法。比较两组治疗前后的营养指标(ALB,PA,TF)、肝功能指标(ALT,AST,TBIL)以及并发症发生情况。结果 观察组治疗后的营养指标和肝功能指标均较对照组有显著提升，差异有统计学意义(P<0.05)；观察组并发症如呕吐、腹胀、腹泻、消化道出血的发生率均低于对照组，总发生率为36.67%，显著低于对照组的66.67%，差异有统计学意义(P<0.05)。结论 重症科肠内营养泵入法在重症患者营养支持中的疗效显著，能有效提升患者的营养状态，改善肝功能，降低并发症发生率，值得在临床上推广使用。

Abstract

Objective To compare the therapeutic effects of enteral nutrition pump infusion and intermittent push injection in nutritional support for critically ill patients in the intensive care unit.
Methods A total of 60 critically ill patients receiving enteral nutrition support were selected and divided into the control group and the observation group,with 30 patients in each group.The control group used intermittent push injection of enteral nutrition,while the observation group used enteral nutrition pump infusion.The nutritional indicators(ALB,PA,TF),liver function indicators(ALT,AST,TBIL),and the incidence of complications were compared between the two groups before and after treatment.
Results After treatment,the nutritional and liver function indicators in the observation group were significantly improved compared with the control group,with statistical significance(P<0.05).The incidence of complications such as vomiting, abdominal distension, diarrhea,and gastrointestinal bleeding in the observation group was lower than that in the control group,with a total incidence of 36.67%,which was significantly lower than that of the control group at 66.67%(P<0.05).
Conclusion   Enteral nutrition pump infusion in the intensive care unit is significantly effective in nutritional support for critically ill patients.It can effectively improve the nutritional status and liver function of patients and reduce the incidence of complications.It is worthy of promotion and application in clinical practice.