重症患者肠内营养喂养不耐受临床常用措施效果分析

许磊; 王婷; 陈亭; 梁泽平; 姚娟; 朱京慈

doi:10.16016/j.1000-5404.201701057

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重症患者肠内营养喂养不耐受临床常用措施效果分析

临床医学 | 更新时间：2026-01-09

- 重症患者肠内营养喂养不耐受临床常用措施效果分析
- Efficacy of medical and nursing measures for enteral nutrition intolerance in critically ill patients
- 第三军医大学学报 2017年39卷第11期页码：1171-1176
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201701057
  中图分类号：
- 收稿：2017-01-10，
  
  纸质出版：2017-06-15
- 稿件说明：
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许磊, 王婷, 陈亭, 等. 重症患者肠内营养喂养不耐受临床常用措施效果分析[J]. 第三军医大学学报, 2017,39(11):1171-1176.

Lei Xu, Ting Wang, Ting Chen, et al. Efficacy of medical and nursing measures for enteral nutrition intolerance in critically ill patients[J]. Journal of Third Military Medical University, 2017, 39(11): 1171-1176.
许磊, 王婷, 陈亭, 等. 重症患者肠内营养喂养不耐受临床常用措施效果分析[J]. 第三军医大学学报, 2017,39(11):1171-1176. DOI： 10.16016/j.1000-5404.201701057.

Lei Xu, Ting Wang, Ting Chen, et al. Efficacy of medical and nursing measures for enteral nutrition intolerance in critically ill patients[J]. Journal of Third Military Medical University, 2017, 39(11): 1171-1176. DOI： 10.16016/j.1000-5404.201701057.

摘要

Abstract

Objective

To observe and analyze the effect of clinical common medical and nursing measures on enteral nutrition intolerance in critically ill patients.

Methods

Clinical data of 160 critically ill patients hospitalized in ICU of Daping Hospital from March to October 2016 were collected and analyzed. Eventually 109 patients meeting our inclusion criteria were included. The patients divided into 2 groups according to the types of nutrient solution

whether they early used catharsis

enema and prokinetic drugs (at th

e beginning of enteral feeding)

and whether supplement of albumin

probiotics

mixed glutamine innutrient solution

and in combination of parenteral nutrition. Univariate analysis was used

and those with

0.1 in the univariate analysis were evaluated by multivariate logistic regression analysis.

Results

Univariate analysis showed that type of nutrient solution

early use of catharsis

early use of enema

early use of prokinetic drugs

and supplement of album reduced the effect of enteral nutrition intolerance significantly (

0.05). Multivariate logistic regression analysis indicated that type of nutrient solution (

=0.152

=0.001

95%

: 0.052~0.446)

early use of prokinetic drugs (

=0.197

=0.015

95%

: 0.054~0.726)

early use of enema (

=0.251

=0.010

95%

: 0.088~0.718) were the main independent protective factors to reduce incidence of feeding intolerance.

Conclusion

At the beginning of enteral nutrition intolerance for critically ill patients

choosing whole protein of nutrient solution (except pancreatitis patients) and early use of prokinetic drugs and enema can effectively reduce the occurrence of feeding intolerance.

关键词

Keywords

references

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