Effect of post pyloric feeding on hospital-acquired pneumonia and mortality in patients with critical respiratory disease
10.16151/j.1007-810x.2018.02.007
- VernacularTitle:幽门后营养支持治疗对呼吸重症病人医院获得性肺炎和病死率的影响
- Author:
Hui-Ming SUN
1
;
Chen CHEN
;
Yong-Ping WANG
;
Guan-Nan WU
;
Xiao-Yong XU
;
Bei-Lei ZHAO
Author Information
1. 解放军南京总医院呼吸与危重症医学科
- Keywords:
Post pylorus feeding;
Enteral nutrition;
Critical respiratory disease;
Hospital-acquired pneumonia;
Mortality
- From:
Parenteral & Enteral Nutrition
2018;25(2):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of post pyloric feeding on hospital-acquired pneumonia and mortality in patients with critical respiratory disease.Methods:A retrospective survey of 41 cases of post pylorus feeding (post pylorus feeding group,n =41) in respiratory intensive care unit (RICU) was carried out,and 41 patients who received nasogastric feeding (nasogastric feeding group,n =41) were investigated in the same RICU.The incidence of ventilator-associated pneumonia (VAP),the incidence of hospital-acquired pneumonia (HAP,excluding VAP) and the in-hospital mortality of RICU were observed and compared between the two groups.Vomiting,aspiration,gastric retention,diarrhea,and the times of stopping enteral feeding were observed and compared as well.Results:The incidence of HAP in the post pylorus feeding group was 2.4％,which was significantly lower than that in the nasogastric feeding group (22％,P ＜ 0.05).The incidences of VAP in the post pylorus feeding group and nasogastric tube feeding group were 16.7％ and 8.7％ individually,which was no significant difference between the two groups (P ＞ 0.05).The mortality in RICU in the post pyloric feeding group was 36.6％,which was similar to that in the nasogastric feeding group (41.5％) (P ＞ 0.05).There was no difference in terms of vomiting,aspiration,gastric retention,diarrhea,and the times of stopping enteral nutrition.Conclusion:Compared with nasogastric feeding,post pyloric feeding reduces the incidence of HAP in critical respiratory patients.Nevertheless,post pyloric feeding fails to affect the incidence of VAP and in-hospital mortality in RICU.
