Nerve In Critically Ill Patients Gastric Retention Related Risk Factors And Prognosis Analysis

Purpose: By observation closing live in the occurrence of left gastricretention nerve internal medicine in our hospital re-crisis care unit (N-ICU) ofcritically ill patients enteral nutrition, analysis of the relevant factors andnutrition, immunization and other aspects of prognosis, in order to be able tomaster a reasonable to treatment and Solutions, greater nutritional support.Methods: Since July2012Jilin University First Hospital Department ofNeurology intensive care unit patients hospitalized in February2013for thestudy. Nasogastric tube enteral nutrition patients, with a total energy of20-25kcal/(Kg.d) give the energy supply, not less than one week.6h pumpingthe stomach cavity residues, residues in more than200mL, patients weredivided into gastric retention left group and non-gastric retention left the group.The two groups were compared admission basic situation, changes in serumprotein targets, immune parameters observed during hospitalization treatmentdifferences. The data were statistically analyzed using SPSS19.0software, linecount data were compared using chi-square test and multivariate analysis usinglogistic regression analysis further stepwise regression analysis, measurementdata with the mean±standard deviation (x_±s), using the t test, non-normaldistribution of measurement data with the rank sum test, P <0.05there arestatistically significant.Results: The gastric retention left the group and not occur gastric retentionleave the group of patients admitted to hospital the gender, age, serum proteinmarkers no obvious difference; accepted treatment after the admission of thetwo groups were compared, the statistics drawn patients admitted to hospital,the GCS score and stomach retention remain the relationship between the occurrence of the most closely (P<0.05), and GCS score lower the gastricretention the greater the likelihood of stay; groups of patients before and afterhospitalization albumin, hemoglobin levels decreased, the difference wasstatistically significant (P <0.05); the laboratory values of the two groups ofpatients in the hospital one week was no significant difference (P>0.05)(withwhom), but3weeks after gastric retention group of patients with IgG, IgAcompared with non-the gastric retention group patients were significantly lower(P<0.05).Conclusion: Neurological critically ill patients on admission GCS scorelower the greater the likelihood of occurrence of gastric retention. In the firstweek of onset of the most prone to gastric retention. Nutritional supportshort-term (one week), albumin and hemoglobin decreased. Gastric retentiongroup, enteral, parenteral nutrition and non-union group underwent gastricretention total enteral nutrition, nutritional support efficacy of the two groupsare equal. Enteral nutrition in critically ill patients may improve neurologicalimmune function.