Application of early intermittent enteral nutrition combined with optimal management of blood glucose in patients with stress hyperglycemia after cardiac surgery
10.16151/j.1007-810x.2025.01.005
- VernacularTitle:早期间断肠内营养联合血糖优化管理在心脏外科术后合并应激性高血糖病人中的应用
- Author:
Run HUANG
1
;
Min XU
;
Hai-Bo ZHANG
;
Yi-Lei ZHU
Author Information
1. 上海交通大学医学院附属新华医院心胸外科,上海 200092
- Keywords:
Early enteral nutrition;
Blood glucose management;
Intermittent feeding;
Postcardiac surgery;
Stress-induced hyperglycemia
- From:
Parenteral & Enteral Nutrition
2025;32(1):29-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of early enteral nutrition combined with optimized blood glucose management in patients with stress hyperglycemia after cardiac surgery.Methods:A study was conducted to construct an early enteral nutrition and blood glucose optimization management plan for patients with stress hyperglycemia after cardiac surgery.A prospective analysis was conducted from May 2022 to May 2023 in the Cardiothoracic Surgery Intensive Care Unit(CICU)of a tertiary hospital in Shanghai.200 patients with stress hyperglycemia after cardiac surgery were divided into control group(n=100)and observation group(n=100)by random number table method.The control group received routine enteral nutrition and blood glucose management plan,while the observation group received early enteral nutrition combined with blood glucose optimization management plan.Nutrition related outcome indicators,blood glucose management quality indicators,and patient prognosis indicators were compared between two groups of patients.Results:After implementing the early enteral nutrition combined with optimized blood glucose management plan,the nutritional indicators(serum prealbumin,hemoglobin,and 7-day calorie compliance rate)of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05);The maximum blood glucose fluctuation amplitude,insulin use time,and incidence of hypoglycemia in the observation group were significantly lower than those in the control group(P<0.05),and the time within the glucose target range was significantly higher than that in the control group,with statistical significance(P<0.05);The mechanical ventilation time,ICU stay time,and total hospital stay in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Early enteral nutrition combined with optimized blood glucose management can effectively improve the nutritional status of patients with stress hyperglycemia after cardiac surgery,reduce blood glucose fluctuations,improve blood glucose management quality,and promote patient outcomes and prognosis.
