本文選題：生大黃　切入點(diǎn)：腸內(nèi)營(yíng)養(yǎng)　出處：《中國(guó)老年學(xué)雜志》2017年24期 　論文類型：期刊論文

【摘要】：目的探討生大黃聯(lián)合腸內(nèi)營(yíng)養(yǎng)對(duì)危重癥患者胃腸功能的保護(hù)作用。方法選擇該院重癥醫(yī)學(xué)科(ICU)危重癥患者60例,按照隨機(jī)數(shù)字表法分為觀察組和對(duì)照組。對(duì)照組行早期腸內(nèi)營(yíng)養(yǎng)支持,觀察組在對(duì)照組的基礎(chǔ)上加鼻飼生大黃治療,兩組均治療1 w,治療后分析兩組首次排便時(shí)間、血清D-乳酸、急性生理與慢性健康評(píng)分(APACHE)Ⅱ、多器官功能障礙綜合征(MODS)發(fā)生率、ICU住院時(shí)間,同時(shí)分別于治療前后對(duì)患者的中醫(yī)癥候積分進(jìn)行評(píng)價(jià),并對(duì)比兩組胃腸道并發(fā)癥情況。結(jié)果治療后,觀察組便秘、反流、胃潴留、腹瀉發(fā)生率及首次排便時(shí)間顯著低于對(duì)照組(P0.05)。觀察組D-乳酸、APACHEⅡ評(píng)分、MODS發(fā)生率、ICU住院時(shí)間顯著低于對(duì)照組(P0.05)。與治療前相比,兩組治療后中醫(yī)癥候評(píng)分均明顯下降,其中觀察組顯著低于對(duì)照組(P0.05)。結(jié)論生大黃聯(lián)合腸內(nèi)營(yíng)養(yǎng)能夠顯著降低危重癥患者的胃腸道并發(fā)癥,降低APACHEⅡ評(píng)分、MODS發(fā)生率及ICU住院時(shí)間,可有效保護(hù)危重癥患者胃腸道。
[Abstract]:Objective to investigate the protective effect of rhubarb combined with enteral nutrition on gastrointestinal function of critically ill patients. The control group was given early enteral nutrition support, and the observation group was treated with rhubarb by nasal feeding on the basis of the control group. The first defecation time of the two groups was analyzed after 1 week of treatment. The incidence of serum D-lactic acid, acute physiological and chronic health score (APACHE) 鈪，

本文編號(hào)：1577410