Effect of the blood purification combined with early enteral nutrition in critical patients in surgery
10.3760/j.issn.1674-2907.2014.21.009
- VernacularTitle:外科重症患者血液净化联合早期肠内营养的效果
- Author:
Xianghong YE
1
;
Fangzheng JIANG
;
Nanhai PENG
;
Honglin YAO
;
Zhihui TONG
;
Weiqin LI
Author Information
1. 210000 南京军区南京总医院解放军普通外科研究所
- Keywords:
Critical patients;
Department of surgery;
Continuous blood purification;
Early enteral nutrition
- From:
Chinese Journal of Modern Nursing
2014;20(21):2613-2616
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of the blood purification combined with early enteral nutrition on the accelerating rehabilitation in critical patients in surgery .Methods Two hundred and thirty-nine critical patients in ICU were chosen , and the patients from June 2011 to May 2012 were divided into the control group ( n=118 ) , and from June 2012 to May 2013 were divided into the observation group ( n=121 ) .The control group received the enteral nutrition after the recovery of intestinal function , and bedside continuous blood purification ( CBP) on the occurrence of acute kidney injury .The observation group received the early enteral nutrition and the routine CBP 24-48 h after the ICU .The therapeutic effect was compared between two groups . Results The level of albumin in the observation group was (34.33 ±4.85)g/L before the treatment, and was (39.72 ±4.72)g/L after the treatment, and the difference was statistically significant (t =-9.219,P <0.01).The level of albumin in the control group was (34.86 ±4.70) g/L before the treatment, and was (34.04 ±4.62) g/L after the treatment, and the difference was not statistically significant (t =1.957,P >0.05).The difference was found in the level of albumin after the treatment between two groups (t=-9.397, P<0.01).The times of hospitalization in ICU, mechanical ventilation and the CBP treatment in the observation group were respectively (17.68 ±2.96) d, (8.49 ±2.35) d, (78.13 ±12.72) h, and were lower than (18.83 ±3.46)d, (9.48 ±2.86) d, (126.50 ±19.56) h in the control group, and the differences were statistically significant (t=2.768, 2.163, 22.602, respectively;P<0.05).Conclusions Application of the blood purification combined with early enteral nutrition in the critical patients in surgery can effectively improve their nutritional index , and reduce the loss of albumin , and shorten the times of mechanical ventilation and hospitalization in ICU , and accelerate the rehabilitation .
