Evaluation on the effect of early intermittent enteral nutrition in critically ill patients after cardiac surgery
10.3760/cma.j.cn115822-20231007-00044
- VernacularTitle:早期间断肠内营养在心脏外科术后重症患者中的应用效果
- Author:
Haibo ZHANG
1
;
Siyun HUANG
;
Fang WU
;
Yuting ZHU
;
Run HUANG
Author Information
1. 上海交通大学医学院附属新华医院心胸外科监护室，上海 200092
- Keywords:
Early enteral nutrition;
Feeding intolerance;
Intermittent feeding;
Postcardiac surgery;
Critically ill patients
- From:
Chinese Journal of Clinical Nutrition
2024;32(2):122-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of early intermittent enteral nutrition (EN) in critically ill patients after cardiac surgery.Methods:We developed an early EN feeding regimen for critically ill patients after cardiac surgery. A prospective analysis was conducted on 178 critically ill patients admitted to the Cardiothoracic Surgery Intensive Care Unit of a tertiary hospital in Shanghai from May 2022 to May 2023. They were divided into the control group ( n=88) and the observation group ( n=90) using a random number table method. The control group received routine EN feeding, while the observation group received early intermittent EN feeding. Comparison between groups was performed in terms of the tolerability and interruption of EN administration, nutrition related outcome indicators, and prognosis indicators. Results:The observation group had significantly lower rates of abdominal distension, diarrhea, nausea and vomiting (or reflux), and EN interruption, as well as shorter duration of EN interruption, compared to the control group ( P<0.05). After 7 days of early EN, 87.8% of patients in the observation group met the calorie goal, which was significantly higher than that of 22.5% in the observation group ( P<0.05). The nutritional related indicators (serum prealbumin, hemoglobin, actual intake of nutritional fluids) were also better in the observation group patients compared to the control group ( P<0.05). The duration of mechanical ventilation and length of ICU stay in the observation group were significantly shorter than those in the control group, with statistical significance ( P<0.05). There was no significant difference in the length of hospital stay between the two groups. Conclusion:Early EN program can improve the symptoms of feeding intolerance in patients, reduce the occurrence and duration of feeding interruption, increase the rate of calorie goal fulfillment, improve nutritional status,and promote patient recovery and outcome in critically ill patients after cardiac surgery.
