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肠内营养乳剂在老年重症患者肠内营养支持中的应用价值

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目的 研究肠内营养乳剂在老年重症患者肠内营养支持中的应用效果。方法 选取本院于2020年1月—2023年5月收治的60例营养不良高风险且不能经口进食的老年重症患者为研究对象,按照随机数字表法分为对照组(26例)和观察组(34例),对照组采用家庭自制匀浆膳鼻饲肠内营养支持,观察组采用肠内营养乳剂鼻饲肠内营养支持,对比两组应用效果。结果 观察组患者上臂肌围、肱三头肌皮褶厚度、体重高于对照组(P<0。05)。观察组患者白蛋白、前白蛋白、总蛋白高于对照组(P<0。05)。观察组患者CD3+、CD4+、CD4+/CD8+高于对照组(P<0。05)。观察组患者降钙素原、C反应蛋白低于对照组(P<0。05)。观察组患者腹胀、腹泻、便秘、潴留、消化道出血、堵管总发生率低于对照组(P<0。05)。结论 肠内营养乳剂在老年重症患者肠内营养支持中的应用效果显著优于家庭自制匀浆膳,因此肠内营养乳剂更具推广价值。
Application Value of Enteral Nutrition Emulsion in Enteral Nutrition Support for Elderly Critically Ill Patients
Objective To study application effect of enteral nutrition emulsion in enteral nutrition support for elderly critically ill patients.Methods The paper chose 60 elderly critically ill patients with high risk of malnutrition and inability to eat orally admitted to our hospital from January 2020 to May 2023,and divided them into control group(26 cases)and observation group(34 cases)with random number table method.Control group was treated with enteral nutrition support through home made homogenate meal nasal feeding,while observation group with enteral nutrition support through enteral nutrition emulsion nasal feeding.Results Observation group had higher upper arm muscle circumference,triceps brachii skin fold thickness,and body weight than control group(P<0.05).Albumin,prealbumin,and total protein of elderly critically ill patients in observation group was higher than control group(P<0.05).Effect of elderly severe patients in observation group were higher than control group(P<0.05).The levels of procalcitonin and C-reactive protein of elderly critically ill patients in observation group were lower than control group(P<0.05).Total incidence of abdominal distention,diarrhea,constipation,retention,gastrointestinal bleeding and tube blockage in observation group was lower than control group(P<0.05).Conclusion Enteral nutrition emulsion has significantly better application effect in enteral nutrition support for elderly critically ill patients than homemade homogenized meals,which has more promotional value.

Elderly critically ill patientsEnteral nutrition emulsionNutritional indicatorsImmune function indicatorsComplications

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沭阳仁慈医院 重症医学科,江苏 宿迁 223600

老年重症患者 肠内营养乳剂 营养指标 免疫功能指标 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(9)
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