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首页> 外文期刊>Asia Pacific journal of clinical nutrition >Early jejunal feeding by bedside placement of a nasointestinal tube significantly improves nutritional status and reduces complications in critically ill patients versus enteral nutrition by a nasogastric tube
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Early jejunal feeding by bedside placement of a nasointestinal tube significantly improves nutritional status and reduces complications in critically ill patients versus enteral nutrition by a nasogastric tube

机译：与通过鼻胃管进行肠内营养相比，通过在床旁放置鼻肠管进行早期空肠喂养可显着改善重症患者的营养状况并减少并发症

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Background and Objective: Unguided nasojejunal feeding tube insertion success rates are low. Controversy persists about how to safely and efficiently perform enteral nutrition (EN) in critically ill patients. This study explores an innovative blind nasointestinal tube (NIT) insertion method and compares nasogastric and nasointestinal feeding. Methods: Seventy critically ill patients admitted to the intensive care unit (ICU) were divided randomly into a nasogastric tube group (NGT; n=35) and an NIT group (NIT; n=35). After bedside NOT and blind-type NIT insertion, tube position was assessed and EN was started on day I. Patients' nutritional status parameters, mechanical ventilation duration, average ICU stay, nutritional support costs, and feeding complications were compared Results: Pre-albumin and transferrin levels on days 7 and 14 were significantly higher in the NIT group than in the NGT group (p<0.01, p<0.05). Bloating, diarrhea, upper gastrointestinal bleeding, and liver damage did not differ significantly between groups (p>0.05). Interleukin-6 and tumor necrosis factor-a levels and APACHE II score were significantly lower in the NIT group than in the NGT group (p<0.01, p<0.05). Reflux and pneumonia incidences, mechanical ventilation duration, average ICU stay length, and nutritional support costs were significantly lower in the NIT group than in the NOT group (p<0.01). Conclusion: Blind bedside NIT insertion is convenient and its use can effectively improve nutritional status, reduce feeding complications, and decrease nutritional support costs of critically ill patients.
机译：背景与目的：无引导鼻空肠饲管插入成功率低。关于如何在危重病人中安全有效地进行肠内营养（EN）一直存在争议。这项研究探索了一种创新的盲肠鼻肠管（NIT）插入方法，并比较了鼻胃和鼻肠喂养。方法：将70名重症监护病房（ICU）的重症患者随机分为鼻胃管组（NGT; n = 35）和NIT组（NIT; n = 35）。床旁NOT和盲型NIT插入后，评估管的位置并在第一天开始EN。比较患者的营养状况参数，机械通气时间，平均ICU停留时间，营养支持费用和喂养并发症。结果：白蛋白前NIT组第7天和第14天的转铁蛋白水平明显高于NGT组（p <0.01，p <0.05）。两组之间的腹胀，腹泻，上消化道出血和肝损害无明显差异（p> 0.05）。 NIT组的白细胞介素6和肿瘤坏死因子-α水平以及APACHE II评分均显着低于NGT组（p <0.01，p <0.05）。 NIT组的反流和肺炎发生率，机械通气时间，平均ICU停留时间和营养支持费用显着低于NOT组（p <0.01）。结论：盲侧床头NIT插入方便，可有效改善重症患者的营养状况，减少喂养并发症，降低营养支持费用。

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