Effects of different nutritional supports on nutrition metabolism and respiratory muscle strength in critical elderly patients in ICU
10.3760/cma.j.issn.1674-2907.2018.24.011
- VernacularTitle:不同营养支持途径对ICU老年重症患者营养代谢和呼吸肌力的影响
- Author:
Meimei CAI
1
;
Shaoyu REN
;
Haiying ZHANG
Author Information
1. 山东省立三院静配中心
- Keywords:
Parenteral nutrition;
Intensive care units;
Enteral nutrition;
Nutrition metabolism;
Respiratory muscle strength
- From:
Chinese Journal of Modern Nursing
2018;24(24):2900-2903
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of different nutritional pathways on nutrition metabolism and respiratory muscle strength in critical elderly patients in Intensive Care Unit (ICU). Methods Totally 99 critical patients admitted in the ICU of Shandong Provincial Third Hospital between January and September 2017 and were equally randomized into enteral nutrition group (EN group), parenteral nutrition group (PN group) and enteral nutrition plus parenteral nutrition group (EN+PN group), which received nutritional support via different pathways. The patients' hemoglobin (Hb), plasma albumin (ALB) and nitrogen balance were measured 7 days post nutritional support; the maximal inspiratory pressure (PImax) was monitored; and the nutritional status and respiratory muscle strength were compared in the patients receiving nutritional support via different pathways. Results After 7 days' nutritional support, EN+PN group showed better Hb (133.52±12.96) g/L, ALB (40.16±4.42) g/L and nitrogen balance (-4.31±1.67) g than PN group and EN group (F=5.602, 4.594, 2.854; P＜0.05). The PImax of EN+PN group was (-34.52±12.96) cmH2O, which was better than EN group and PN group (F=3.651, P＜ 0.05). Conclusions The combined EN and PN support has better effects on improving the nutritional status and respiratory muscle strength in critical elderly patients as compared to simply using EN or PN, and it also shows better short-term clinical outcomes than simply using EN or PN.
