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含缓释淀粉的肠内营养在危重症高血糖病人的应用

Slow-release starch added enteral nutrient for patients with hyperglycemia in critically ill patients

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【作者】 马步青杨莹楼巧勤

【Author】 MA Bu-qing,YANG Ying,LOU Qiao-qin (Intensive Care Unit,the Third Hangzhou People Hospital,Hangzhou 310009,Zhejiang,China)

【机构】 杭州市第三人民医院重症医学科

【摘要】 目的:探讨危重症中高血糖病人如何选择肠内营养(EN)种类,对控制血糖水平,改善预后的影响。方法:将危重症病人86例并发高血糖的病人随机分为试验组和对照组,每组43例。分别给予缓释淀粉型的EN液(瑞代)和普通EN液(瑞素)治疗。观察两组病人的血糖水平、营养指标以及预后等情况。结果:研究结束时,试验组病人的血糖水平明显低于对照组,且血糖水平较稳定,波动较小,差异有统计学意义。试验组病人良好转归明显高于对照组。结论:含缓释淀粉型的EN液能有效地降低危重症中高血糖病人的血糖水平,改善预后。

【Abstract】 Objective: To explore the best choice of enteral nutrient for patients with hyperglycemia in Critical Care Medicine.Methods: Eighty six patients with hyperglycemia in Critical Care Medicine were randomly divided into study group(slow-release starch added enteral nutrition)and the control group(standard enteral formula nutrition).The changes in nutrition-associated indexes,blood glucose were observed before and after enteral nutrient support.Results:When the study finished,the level of blood glucose in the study group was improved significantly when compared with that in the control group.Conclusion: The slow-release starch added enteral nutrition can reduce the level of blood glucose of the patients with hyperglycemia in Critical Care Medicine,and improve the prognosis.

  • 【文献出处】 肠外与肠内营养 ,Parenteral & Enteral Nutrition , 编辑部邮箱 ,2012年03期
  • 【分类号】R459.3
  • 【被引频次】9
  • 【下载频次】116
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