高膳食纤维肠内营养改善危重症患者营养状况及耐受

目的 研究高膳食纤维肠内营养对危重症患者营养状况及耐受性的影响.方法 将78例危重症患者随机分成标准肠内营养乳剂组(对照组)和高膳食纤维肠内营养乳剂组(研究组),每组39例.观察肠内营养支持10d后,患者营养状况、胃肠道并发症及耐受性.结果 对照组与研究组各项指标在治疗前均无明显差异(P均＞0.05).与治疗前比较,治...

High dietary fiber enteral nutrition improves the nutritional status and tolerance in critically ill patients

Objective To evaluate the effect of high dietary fiber enteral nutrition （EN） on nutritional status and tolerance in critically ill patients. Methods Seventy-eight cases of critically ill patients were randomly divided into control group （complete EN emulsion, 39 cases） and study group （EN emulsion with high dietary fiber, 39 cases）. The nutrition status, gastrointestinal complications and EN tolerance were measured before and after 10 d EN treatment. Results There was no significant difference in all the parameters between the two g roups before EN treatment （all P 〉 0.05）. However, 10 d after EN, the status of body mass index, skinfold thickness, and upper-arm circumference were improved but not statistically different in the two groups （all P 〉 0.05）. The levels of blood glucose, serum total protein, albumin, and hemoglobin were markedly increased after EN treatment in both groups （all P 〈 0.05）. After EN treatment, compared with the control group, the increase of blood glucose was markedly weakened and the serum total cholesterol, triglyceride were significantly enhanced in the study group （all P 〈 0.05）. The gastrointestinal complications and the transition time of total EN were significantly decreased in the study group as compared with the control group （all P 〈 0.05）.