败血症患者内部营养不耐受症的危险因素:一个病例对照研究
Li-Zhu Wang1, Yan Xiang1, Qian Li1
1Department of Nursing, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Current medical science
|March 22, 2024
概括
肠道营养不耐受 (ENI) 影响了超过三分之一的败血症患者. 较高的APACHE H分数,胸腔凝聚和异型增加ENI风险,突出了管理败血症营养的关键因素.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
背景情况:
- 肠道营养 (EN) 对于败血症管理至关重要.
- 肠道营养不耐受 (ENI) 可以使患者的康复复复杂化.
- 识别ENI败血症的风险因素对于优化护理至关重要.
研究的目的:
- 为了确定接受EN.治疗的败血症患者中ENI的发病率.
- 在这个人群中确定与ENI相关的独立风险因素.
主要方法:
- 采用了一种病例控制研究设计.
- 接受EN治疗的败血症患者被分为ENI和非ENI组.
- 进行了单变量和多变量逻辑回归分析.
主要成果:
- 恩尼的发病率为33.53% (288/859名患者).
- 常见的ENI症状包括腹,吐,胀气和胃缩.
- 确定ENI的独立预测因子是高的APACHE H分数,胸腔凝聚和异能剂的使用.
结论:
- ENI是败血症患者经常出现的并发症.
- 较高的APACHE H分数,胸腔凝聚和无otropic药物管理是ENI的重要风险因素.
- 这些发现强调需要对高风险败血症患者进行警监测和量身定制的EN策略.
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