首页|行俯卧位机械通气治疗的ARDS患者幽门后喂养的应用效果分析

行俯卧位机械通气治疗的ARDS患者幽门后喂养的应用效果分析

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目的:对行俯卧位并机械通气治疗的ARDS患者幽门后喂养的应用效果进行评价.方法:采用病例对照研究,将2021年1月~2023年6月入住某三甲医院综合ICU的30例留置鼻肠管进行幽门后喂养的ARDS患者为观察组,与同期入住综合ICU的30例留置胃管进行肠内营养的ARDS患者为对照组进行对比,分析两组患者在进行俯卧位机械通气期间,肠内营养治疗1周后营养指标(白蛋白、血红蛋白)改善情况,持续泵从低速度20mL/h开始喂养,逐渐调至40mL/h和50mL/h,两组患者俯卧位治疗期间肠内营养耐受情况,以及ICU住院天数,机械通气时间等指标.结果:两组患者在入院时与开始俯卧位机械通气治疗实施肠内营养1周后的营养相关指标(白蛋白及血红蛋白)组内前后对比,差异无统计学意义(P>0.05).两组患者ICU治疗时间、呼吸机治疗时间比较,差异有统计学意义(P<0.05).结论:ARDS患者在行俯卧位机械通气期间进行幽门后喂养在滋养型喂养(20mL/h)时较鼻胃管喂养肠内营养耐受性无差异,而在提高速度至50mL/h时,幽门后喂养并发症更少,耐受性达标率显著,能够显著改善临床治疗有效率,同时能缩短ICU治疗时间和呼吸机治疗时间,改善患者的营养,减少并发症风险.
Analysis of the Application Effect of Retropyloric Feeding in ARDS Patients Undergoing Prone Position Mechanical Ventilation Treatment
Objective:To evaluate the application effect of retropyloric feeding in ARDS patients undergoing prone position and mechanical ventilation treatment.Methods:A case-control study was conducted to compare 30 ARDS patients who were admitted to a comprehensive ICU of a tertiary hospital from January 2021 to December 2022 with a nasogastric tube for postpyloric feeding as the observation group,and 30 ARDS patients who were admitted to a comprehensive ICU with a gastric tube for enteral nutrition as the control group.The results showed that the two groups of patients underwent mechanical ventilation in a prone position,after 1 week of enteral nutrition treatment,the improvement of nutritional indicators(albumin,hemoglobin)was observed.The pump was continuously fed from a low speed of 20mL/h,gradually adjusted to 40mL/h and 50mL/h.The tolerance of enteral nutrition during prone position treatment was compared between the two groups of patients,as well as the length of ICU hospitalization and mechanical ventilation time.Results:There was no statistically significant difference(P>0.05)in the nutritional indicators(albumin and hemoglobin)between the two groups of patients at admission and one week after the implementation of enteral nutrition in prone position mechanical ventilation treatment.The comparison of ICU treatment time and ventilator treatment time between two groups of patients showed statistically significant differences(P<0.05).Conclusion:Postpyloric feeding during prone mechanical ventilation in ARDS patients showed no difference in enteral nutrition tolerance compared to nasogastric tube feeding during nourishing feeding(20mL/h).However,when the speed was increased to 50mL/h,there were fewer complications and a significant tolerance compliance rate.This can significantly improve clinical treatment effectiveness,shorten ICU and ventilator treatment time,improve patient nutrition,and reduce the risk of complications.

prone positionmechanical ventilationARDSpostpyloric feedingcomplications

黄淑琼、辜惠兰、陈晓芳

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厦门大学附属第一医院重症医学科(福建 厦门 361000)

厦门心血管病医院(福建 厦门 361000)

俯卧位 机械通气 ARDS 幽门后喂养 并发症

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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