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| Clinical study of enhancing the delivery of enteral nutrition in critically ill patients |
| Li Ya-qing, Ren Shan, Wang Yan-xia, Niu Zhan-cong, Zhao He-ling |
| Department of Infectious Diseases, Hebei General Hospital, Shijiazhuang 050000, China |
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Abstract Objective To explore the value of early enough feeding in clinical application. Methods Eighty critically ill patients were randomly divided into 2 groups, namely treatment group (early enteral nutrition, application of prokinetic agents, improving gastric residual threshold) and the normal control group, with 40 patients in each group.Nutrition supporting treatment lasted for 3~7 days, blood routine and biochemical indexes (albumin, prealbumin) were recorded before application of enteral nutrition, the application of enteral nutrition after third days, the application of enteral nutrition after seventh days, the incidences of abdominal distension, diarrhea and other complications were recorded, and the time of mechanical ventilation, ICU occupancy days were recorded. Results After nutritional therapy, serum albumin, prealbumin of the treatment group was significantly higher than that in the control group, the difference was statistically significant (P<0.05). The mechanical ventilation time, the length of ICU stay in the treated group were significantly shorter than the control group(P<0.05).The incidence rate of abdominal distension,diarrhea in the two groups of patients had no significant difference (P>0.05). Conclusion Early application of prokinetic agents, while improving the gastric residual threshold, can promote to reach the goal of energy supply in critically ill patients, improve the nutritional status of patients, shorten the time of mechanical ventilation, the stay of intensive care unit, without increasing the incidence of related complications.
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Received: 19 October 2017
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Corresponding Authors:
Zhao He-ling, E-mail: zhheling@sina.com
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