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1、危重患者早期肠内营养的临床价值研究［摘要］目的探讨早期肠内营养(EN)在危重症患者治疗中的应用效果。方法选取2012年1月〜2014年1月在本院TCU住院的60例患者作为研究对象，随机分为研究组和对照组，各30例。研究组行早期EN治疗，即在进入ICU后的24〜48h开始实施EN；对照组行常规EN治疗，即在进入ICU后的48h后开始实施EN,比较两组的治疗效果。结果研究组治疗第7天的Alb和PA水平显著高于对照组，GLU和ALT水平显著低于对照组，差异有统计学意义(卩〈0.05)。研究组的达标所需时间、机械通气时间与ICU住院时间显著短于对照组，差异有统计学意义(P<0
2、.05)o结论早期EN在危重症患者治疗中的应用效果显著，能够明显改善患者的各项生化指标和营养状况，缩短住院时间。［关键词］危重症患者；早期；肠内营养［中图分类号］R459.3［文献标识码］A［文章编号］1674-4721(2015)07(c)-0028-03ClinicalvaluestudyofearlyenteralnutritionforcriticalpatientsSHTGui-fanglYANGWei2HUHong-juan31.DepartmentofClinicalNutrition,PeoplezsHospitalofJingjiangCityinJ
3、iangsuProvince,Jingjiang214500,China；2.DepartmentofCriticalCareMedicine,People1sHospitalofJingjiangCityinJiangsu卩rovince,Jingjiang214500,China；1.DepartmentofPreventiveCare,TraditionalChineseMedicalHospitalofJingjiangCityinJiangsuProvince,Jingjiang214500,China[Abstract]ObjectiveToexplore
4、theapplicationeffectofsupportivetherapyofearlyenteralnutrition(EN)inthetreatmentofcriticalpatients・Methods60patientshospitalizedinICUinourhospitalfromJanuary2012toJanuary2014wereselectedandrandomlydividedintotheresearchgroupandthecontrolgroup,30casesineachgroup.Theresearchgroupwasgivene
5、arlyENtreatment,andENwascarriedoutwithin24~48hafterenteringICU.ThecontrolgroupwasgivenregularENtreatment,andENwascarriedoutwithin48hafterenteringICU.Thecurativeeffectintwogroupswascompared.ResuItsThelevelofAlbandPAintheresearchgroupaftertreatment,atthe7t.hdayswashigherthanthatinthecontr
6、olgroup,thelevelofGLUandALTintheresearchgroupaftertreatmentatthe7thdayswaslowerthanthatinthecontrolgroup,withsignificantdifferenee(P<0.05).TherequiredtimeofreachingthetargetofEN,mechanicalventilationtimeandhospitalizeddaysinICUintheresearchgroupwasshorterthanthatinthecontrolgroup,withsi
7、gnificantdifference(P〈0.05).ConclusionTheapplicationeffectofearlyENsupportivetherapyforcriticalpatientsinsignificant,whichcanobviouslyimproveeachbiochemicalindexandnutritionalconditions,shortenhospitalizationtime.[Keywords]Criticalpatients；Ear1ystage；Enteralnutrition危重患者在严重应激后机
