摘要
目的 探索营养序贯护理干预在ICU行机械通气患者中的应用效果。方法 回顾分析医院2024年1月至2025年12月60例ICU行机械通气患者病历资料，其中2024年1月至12月30例ICU行机械通气患者采取常规护理，设定为对照组；2025年1月至12月30例ICU行机械通气患者采取营养序贯护理干预，设定为观察组。对比两组护理效果。结果 （1）营养状况，观察组护理后血清白蛋白（ALB）、前白蛋白（PA）、血红蛋白（Hb）水平明显高于对照组（P<0.05）。（2）免疫水平，观察组护理后IgA、IgG、IgM水平明显高于对照组（P<0.05）。（3）临床指标情况，观察组机械通气时间、ICU住院时间短于对照组（P<0.05）。（4）并发症发生率，观察组并发症发生率低于对照组（P<0.05）。结论 营养序贯护理干预在ICU行机械通气患者中的应用效果佳，可改善营养状况，提高免疫能力，加快病情恢复，降低并发风险，值得采纳。
关键词： 营养序贯护理干预；ICU；机械通气；并发症发生率；营养状况
Abstract
Objective To explore the application effect of sequential nutritional nursing intervention in ICU mechanically ventilated patients. Methods A retrospective analysis was conducted on the medical records of 60 ICU patients who underwent mechanical ventilation in the hospital from January 2024 to December 2025. Among them, 30 ICU patients who underwent mechanical ventilation from January to December 2024 received routine nursing care and were set as the control group; From January to December 2025, 30 ICU patients undergoing mechanical ventilation were treated with sequential nutritional nursing intervention and set as the observation group. Compare the nursing effects of two groups. Results (1) Nutritional status: After nursing, the levels of Albumin (ALB), Prealbumin (PA), and Hemoglobin (Hb) in the observation group were significantly higher than those in the control group (P<0.05). (2) The immune level showed that the levels of IgA, IgG, and IgM in the observation group were significantly higher than those in the control group after nursing (P<0.05). (3) The clinical indicators showed that the observation group had shorter mechanical ventilation time and ICU hospitalization time than the control group (P<0.05). (4) The incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion The application effect of sequential nutritional nursing intervention in ICU mechanically ventilated patients is good, which can improve nutritional status, enhance immune ability, accelerate disease recovery, and reduce the risk of complications. It is worth adopting.
Key words： Nutritional sequential nursing intervention; ICU; Mechanical ventilation; Incidence of complications; Nutritional status
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