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微生态调节剂对机械通气患者肠内营养相关性腹泻的预防作用
引用本文:徐丽丹,王传湄,刘西韶,肖春莲,赖小燕. 微生态调节剂对机械通气患者肠内营养相关性腹泻的预防作用[J]. 湛江医学院学报, 2009, 27(3): 250-252
作者姓名:徐丽丹  王传湄  刘西韶  肖春莲  赖小燕
作者单位:广东省深圳市宝安区人民医院营养科,广东深圳,518101;广东省深圳市宝安区人民医院营养科,广东深圳,518101;广东省深圳市宝安区人民医院营养科,广东深圳,518101;广东省深圳市宝安区人民医院营养科,广东深圳,518101;广东省深圳市宝安区人民医院营养科,广东深圳,518101
摘    要:
目的 观察微生态调节剂对机械通气患者肠内营养相关性腹泻的预防作用。方法89例机械通气患者随机分为试验组(n=44)和对照组(n=45)。两组患者均给予鼻饲瑞先肠内营养液,试验组加用鼻饲微生态调节剂1周。观察两组患者腹泻和菌群失调发生率、粪便中分泌型IgA(S-lgA)水平、肠内营养液达到目标供给量的时间。结果试验组腹泻和菌群失调发生率、肠内营养液达到目标供给量的时间均明显低于对照组(P〈0.01),而鼻饲第8天粪便中S-IgA含量比对照组明显升高[(1.713±0.241)vs(1.567±0.193)g/L,P〈0.01]。结论机械通气患者应用微生态调节剂可有效防止肠道菌群失调,减少腹泻发生,利于肠内营养治疗的顺利进行。

关 键 词:微生态调节剂  机械通气  肠内营养  腹泻

Prevention of micro-ecological preparation on enteral nutrition related diarrhea in patients with mechanical ventilation
XU Li-dan,WANG Chuan-mei,LIU Xi-shao,XIAO Chun-lian,LAI Xiao-yan. Prevention of micro-ecological preparation on enteral nutrition related diarrhea in patients with mechanical ventilation[J]. Journal of Guangdong Medical College, 2009, 27(3): 250-252
Authors:XU Li-dan  WANG Chuan-mei  LIU Xi-shao  XIAO Chun-lian  LAI Xiao-yan
Affiliation:XU Li-dan,WANG Chuan-mei,LIU Xi-shao,XIAO Chun-lian,LAI Xiao-yan (Department of Nutrition,Baoan People's Hospital,Shenzhen 518101,China)
Abstract:
Objective To study the preventive effect of micro-ecological preparation on enteral nutrition related diarrhea in patients with mechanical ventilation.Methods Eighty-nine patients with mechanical ventilation were randomly divided into treatment group(n=44)and control group(n=45).All patients received nasal feeding with enteral nutrition,but treatment group accepted additional micro-ecological preparation for 7 days.The occurrence of diarrhea and dysbacteria, fecal S-IgA,and the time to reach standard amount...
Keywords:micro-ecological preparation  mechanical ventilation  enteral nutrition  diarrhea  
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