临床护理杂志2024,Vol.23Issue(2) :16-19.DOI:10.3969/j.issn.1671-8933.2024.02.005

呼吸衰竭患者通气治疗期间发生肠内营养喂养不耐受的危险因素分析

Risk Factors Analysis of Enteral Nutrition Intolerance in Patients with Respiratory Failure during Ventilation Therapy

黄承华 孙青 王雪琴
临床护理杂志2024,Vol.23Issue(2) :16-19.DOI:10.3969/j.issn.1671-8933.2024.02.005

呼吸衰竭患者通气治疗期间发生肠内营养喂养不耐受的危险因素分析

Risk Factors Analysis of Enteral Nutrition Intolerance in Patients with Respiratory Failure during Ventilation Therapy

黄承华 1孙青 1王雪琴1
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作者信息

  • 1. 341000 江西省赣州市人民医院 赣州
  • 折叠

摘要

目的 分析呼吸衰竭(RF)患者通气治疗期间发生肠内营养喂养不耐受的危险因素.方法 选取2021年10月-2023年9月我院行机械通气治疗的RF患者124例为研究对象,采用一般资料问卷调查患者相关资料,评估患者通气治疗期间发生肠内营养喂养不耐受情况,并分析其危险因素.结果 124例RF患者通气治疗期间发生肠内营养喂养不耐受63例,发生率为50.81%;多因素Logistic回归分析结果显示,年龄≥60岁、鼻饲速度>40ml/h、急性生理与慢性健康评分(APACHE Ⅱ)高、同步间歇通气模式是RF患者通气治疗期间发生肠内营养喂养不耐受的危险因素(OR>1,P<0.05);血清白蛋白水平高是RF患者通气治疗期间发生肠内营养喂养不耐受的保护因素(OR<1,P<0.05).结论 RF患者通气治疗期间发生肠内营养喂养不耐受高风险,受年龄、鼻饲速度、APACHE Ⅱ评分、机械通气模式、血清白蛋白水平影响,临床可据此合理调节肠内营养方案,加强喂养干预,以减少患者机械通气治疗期间肠内营养喂养不耐受发生.

Abstract

Objective To analyze the risk factors for enteral feeding intolerance(FI)during ventilation therapy in patients with respiratory failure(RF).Methods 124 RF patients who underwent mechanical ventilation treatment in the hospital from Oc-tober 2021 to September 2023 were selected to evaluate the occurrence of enteral nutrition FI during the ventilation treatment period.A general information survey questionnaire was developed to investigate patient related information.Logistic regression analysis was used to test the risk factors for enteral nutrition FI in RF patients during the ventilation treatment period.Results During the venti-lation treatment period,63 out of 124 RF patients experienced enteral nutrition FI,with an incidence rate of 50.81%;Logistic re-gression analysis showed that age≥60 years old,nasal feeding speed>40ml,high acute physiological and chronic health score(APACHE Ⅱ),and synchronous intermittent ventilation were risk factors for enteral nutrition FI during ventilation treatment in RF patients(OR>1,P<0.05);High serum albumin levels are a protective factor for enteral nutrition(FI)during ventilation therapy in RF patients(OR<1,P<0.05).Conclusion Patients with RF have a high risk of developing enteral nutrition(FI)during ventilation therapy,which is influenced by age,nasal feeding speed,APACHE Ⅱ score,synchronous intermittent ventilation mode,and serum albumin level.Based on this,the enteral nutrition plan can be adjusted reasonably,and feeding intervention can be strengthened to reduce the occurrence of FI during ventilation therapy in patients.

关键词

呼吸衰竭/通气治疗/肠内营养/喂养不耐受

Key words

respiratory failure/ventilation treatment/enteral nutrition/feeding intolerance

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基金项目

江西省卫生健康委科技项目(202311943)

出版年

2024
临床护理杂志
安徽省医学会,安徽医科大学第一附属医院

临床护理杂志

影响因子:1.684
ISSN:1671-8933
参考文献量12
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