机械通气患者肠内与肠外营养的临床对比研究[摘要]目的研究?C器通气患者的应用支持方法，并探究肠内营养与肠外营养的临床使用效果。方法选取2016年3月～2017年3月我院收治的80例机械通气患者，因呼吸衰竭在我院ICU接受治疗，采用随机方法分为对照组和观察组各40例。对照组实施肠外营养支持，观察组实施肠内营养支持。对血液中的清蛋白、前清蛋白、血红蛋白，分别在支持前后进行观察，观察两组撤机时间。结果撤机时间，观察组短于对照组，差异有统计学意义（P<0.05）；两组患者血液中清蛋白以及其他相关指标在支持前1d显差异无统计学意义（P>0.05），支持后28d观察组则改善更佳。对照组28d内撤机成功率为70.0%，观察组28d内撤机成功率为92.5%，差异有统计学意义（P<0.05）。结论机械通气患者给予肠内营养相比于肠外营养，更有利于患者吸收利用，缓解机械通气带来的能量消耗，更符合患者的生理状态，在减少患者通气时间的同时，也可以显著的减轻患者的痛苦，降低患者住院的费用，减轻患者和家属的负担，因此肠内营养值得临床优先选择使用。[关键词]机械通气；肠内营养；肠外营养[]R459.3[文献标识码]A[]1674-4721（2017）09（b）-0026-04ClinicalcomparativestudyofenteralandparenteralnutritioninpatientsreceivingmechanicalventilationGUANLi-ping1WEIZhi-qiang2WANGYan-hua3YUPeng41.DepartmentofIntensiveMedicine，Bei激ngHuiEthnicityHospital，Bei激ng100054，China；2.DepartmentofOrthopedics，theSecondAffiliatedHospitalofBei激ngUniversityofChineseMedicine，Bei激ng100078，China；3.DepartmentofSpleenandStomach，theThirdAffiliatedHospitalofBei激ngUniversityofChineseMedicine，Bei激ng100029，China；4.DepartmentofCriticalCareMedicine，Bei激ngHuiEthnicityHospital，Bei激ng100053，China[Abstract]ObjectiveTostudytheapplicationofsupportmethodsinpatientsreceivingmechanicalventilation，andtoexploretheclinicalapplicationeffectofenteralnutritionandparenteralnutrition.Methods80patientsreceivingmechanicalventilationfromMarch2016toMarch2017wereadmitted.ThepatientswereallaffectedwithrespiratoryfailureandreceivedtreatmentinICUofourhospital；thepatientsweredividedintothecontrolgroupandtheobservationgroupbyrandomization.Thecontrolgroupwastreatedwithparenteralnutritionsupport，andtheobservationgroupwasgivenenteralnutritionsupport.Thealbuminandprealbumin，hemoglobininthebloodwereobserved.1dbeforeinterventionand28daysafterintervention.Themachinewithdrawaltimewasobservedsimultaneouslyinbothgroups.ResultsIntermsofmachinewithdrawaltime，theobservationgroupwasshorterthanthecontrolgroup，thereweresignificantdifferencesbetweenthetwogroups（P<0.05）；therewasnosignificantdifferenceinserumalbuminandotherrelatedindexesbetweenthetwogroupsbeforeintervention（P>0.05）.28dafterintervention，theimprovementintheobservationgroupwasbetterthanthecontrolgroup.Thesuccessrateofwithdrawalinthecontrolgroupwas70.0%within28days，andintheobservationgroupwas，thedifferencewasstatisticallysignificant（P<0.05）.ConclusionInthepatientswithmechanicalventilation，comparedwithparenteralnutrition，theenteralnutritionismorebeneficialtothepatients′absorptionandutilization，alleviatingtheenergyconsumptioncausedbymechanicalventilation，whichismoreinaccordancewiththephysiologicalstateofthepatients.Inreducingthepatientventilationtime，itcanalsosignificantlyreducethesufferingofpatients，reducethecostofhospitalization，andreducetheburdenonpatientsandtheirfamilies.Therefore，enteralnutritionisworthyofprioritizedclinicalapplication.[Keywords]Mechanicalventilation；Enteralnutrition；Parenteralnutrition机械通气属于临床常见的危重症干预方法...