早期肠内营养与肠外营养对应激性溃疡出血患者医院感染影响的对比研究

发布时间：2018-04-10 19:51

本文选题：早期肠内营养 + 肠外营养　；参考：《中华医院感染学杂志》2015年17期

【摘要】：目的探讨早期肠内营养与肠外营养对应激性溃疡出血患者医院感染的疗效,为控制及降低应激性溃疡出血患者医院感染的发生提供参考。方法选取2011年8月-2013年8月90例应激性溃疡出血患者,随机分为早期肠内营养组和肠外营养组,每组各45例,早期肠内营养组采取留置胃管的方式进行肠内营养支持,肠外营养组则采取深静脉导管静脉滴注进行营养支持,比较两组间感染患者的C-反应蛋白水平及感染率。结果检测早期肠内营养组感染10例感染率22.2%,肠外营养组感染21例感染率46.7%,两组差异有统计学意义(P0.05);早期肠内营养组C-反应蛋白水平(132.44±15.80)mg/L,肠外营养组为(143.14±12.36)mg/L,二者相比差异有统计学意义(P0.05)。结论对比给予肠外营养,早期肠内营养预防应激性溃疡出血患者发生医院感染有显著疗效,且早期营养组的感染程度也相对较低。
[Abstract]:Objective to investigate the effect of early enteral nutrition and parenteral nutrition on nosocomial infection in patients with stress ulcer hemorrhage and to provide reference for controlling and reducing nosocomial infection in patients with stress ulcer hemorrhage.Methods from August 2011 to August 2013, 90 patients with stress ulcer bleeding were randomly divided into early enteral nutrition group and parenteral nutrition group.In the parenteral nutrition group, the level of C-reactive protein and the infection rate were compared between the two groups.Results the infection rate was 22. 2% in early enteral nutrition group, and 46. 7% in parenteral nutrition group (P 0. 05), and the C-reactive protein level was 132.44 卤15. 80 mg / L in early enteral nutrition group and 14. 14 卤12. 36 mg / L in parenteral nutrition group.The difference was statistically significant (P 0.05).Conclusion compared with parenteral nutrition, early enteral nutrition can prevent nosocomial infection in patients with stress ulcer bleeding, and the degree of infection in early nutrition group is relatively low.
【作者单位】：毕节市第一人民医院消化内科;
【基金】：贵州省卫生厅重点基金资助项目(GW-2012B029)
【分类号】：R573.1

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