| 摘要: |
| ［摘要］ 目的 探讨早期不同肠内营养途径对急性Stanford A型主动脉夹层（ATTAD）术后患者预后的影响。方法 选择2020年8月至2021年12月河南省胸科医院重症监护室收治的ATTAD术后患者72例，采用随机数字表法将其分为观察组和对照组，每组36例。观察组采用鼻肠管行肠内营养治疗，对照组采用鼻胃管行肠内营养治疗。比较两组喂养耐受性、营养状态以及临床预后的差异。结果 观察组和对照组鼻饲管留置时间比较差异无统计学意义［（6.94±0.89）d vs（7.33±1.21）d；t=1.544，P=0.127］。在治疗期间，对照组腹胀、反流、胃潴留发生率显著高于观察组（P<0.05）。与对照组相比，观察组机械通气时间、住ICU时间及总住院时间更短，差异有统计学意义（P<0.05）。两组吸入性肺炎、切口感染发生率比较差异无统计学意义（P>0.05）。在接受营养治疗后第1天、第3天、第5天，两组ALB、PAB水平均呈上升趋势，且观察组上升幅度更大，差异有统计学意义（P<0.05）。结论 早期经鼻肠管肠内营养支持途径可以有效改善ATTAD术后患者喂养耐受性、营养状态，有利于患者康复。 |
| 关键词: 急性Stanford A型主动脉夹层 早期肠内营养 鼻肠管 鼻胃管 |
| DOI：10.3969/j.issn.1674-3806.2022.09.13 |
| 分类号:R 459.3 |
| 基金项目: |
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Effects of early enteral nutrition with different routes on prognosis of patients after acute Stanford type A
aortic dissection |
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CHE Li-ling, LIU Ya-qian, HOU Jian-yong, et al.
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Intensive Care Unit, Henan Provincial Chest Hospital, Zhengzhou 450000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the effects of early enteral nutrition with different routes on the prognosis of patients after acute Stanford type A aortic dissection(ATTAD). Methods Seventy-two patients after ATTAD who were admitted to the Intensive Care Unit(ICU) of Henan Provincial Chest Hospital from August 2020 to December 2021 were selected and divided into an observation group and a control group by random number table method, with 36 cases in each group. The observation group received enteral nutrition therapy with naso-intestinal tube, and the control group received enteral nutrition therapy with nasogastric tube. The differences in feeding tolerance, nutritional status and clinical prognosis were compared between the two groups. Results There was no significant difference in the indwelling time of the nasogastric tube between the observation group and the control group［(6.94±0.89)d vs (7.33±1.21)d; t=1.544, P=0.127］. During the treatment period, the incidence rates of abdominal distension, reflux and gastric retention in the control group were significantly higher than those in the observation group(P<0.05). Compared with those in the control group, the mechanical ventilation time, the duration of ICU stay and the length of total hospital stay in the observation group were shorter, and the differences were statistically significant(P<0.05). There were no significant differences in the incidence rates of aspiration pneumonia and incision infection between the two groups(P>0.05). On the first day, the third day and the fifth day after receiving nutritional treatment, the levels of albumin(ALB) and prealbumin(PAB) in the two groups showed an upward trend, and the increasing range of the observation group was greater, and the differences were statistically significant(P<0.05). Conclusion Early enteral nutrition support via naso-intestinal tube can effectively improve the feeding tolerance and nutritional status of patients after ATTAD, which is beneficial to the recovery of the patients. |
| Key words: Acute Stanford type A aortic dissection(ATTAD) Early enteral nutrition Naso-intestinal tube Nasogastric tube |
