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.