Effects of Enteral Nutrition Based on Energy Metabolism Monitoring on Nutritional Status,Intestinal Function and Immune Function in Elderly Critically Ill Patients
Objective:To investigate the effects of enteral nutrition(EN)based on energy metabolism monitoring on intestinal function,nutritional status and immune function in elderly critically ill patients.Methods:According to the random number table method,136 elderly critically ill patients who were admitted to of EICU Department of Nanjing First Hospital from April 2020 to January 2023 were divided into control group(routine EN)and study group(routine EN based on energy metabolism monitoring),with 68 cases in each group.The clinical indexes,nutritional status,immune function indexes,intestinal function indexes and incidence of complications were compared between two groups.Results:The EN compliance rate within 7 days and the success rate of weaning within 7 days in study group were higher than those in control group,the ICU hospitalization time and mechanical ventilation time in study group were shorter than those in control group,and the total incidence of complications was lower than that in control group(P＜0.05).14 days after intervention,the levels of albumin(ALB),serum total protein(TP),prealbumin(PA)and hemoglobin(Hb)in study group were higher than those in control group(P＜0.05).14 days after intervention,the levels of immunoglobulin(Ig)M,IgG and IgA in study group were higher than those in control group(P＜0.05).14 days after intervention,the levels of D-lactic acid and diamine oxidase(DAO)in study group were lower than those in control group(P＜0.05).Conclusion:EN intervention based on energy metabolism monitoring in elderly critically ill patients,which can further improve the nutritional status,intestinal function and immune function of patients.
Energy metabolismEnteral nutritionElderlyCritical illnessNutritional statusIntestinal functionImmune function
NETL
NSTL
万方数据
