The Influence Of The Early Enteral Nutrition In The Patients With Mechanical Ventilation In ICU

Objective By studying the mechanical ventilation in patients with enteral nutritionsooner or later, observe the change of patient, include:survival rate, the averagenutrition cost, success rate of ventilator one week, the duration of ventilator support,ventilator associated pneumonia, the frequency of gastrointestinal complications.Methods This experient is randomised、prospective clinical,controlled trials. Sixtypatients with mechanical ventilation were randomized divided into two groups.Thepatients in the Early Enteral Nutrition group(EEN group) received enteral nutrition inthe mechanical ventilation within48hours; and the other patients received enteralnutrition in the mechanical ventilation without48hours. The mechanical ventilationtime,occurrence rate of ventilator-associated pneumonia(VAP),nutrition costs in oneweek, complication and28days mortality, were compared between the two groups.Results The differences of informational about the number of two groups ofcases、the patient’s gender、age、APACHE Ⅱ score of admission has no statisticalsignificance.(p>0.05). Compared with the early enteral and fewer ten patientsexperienced septic complications,the EEN groups,the duration of ventilatory supportone day and theaverage nutrition cost one week with significant difference.(p<0.05).The mortality of the28days and success rate of ventilator one week was nostatistically significant difference.(p>0.05). After treatment,serum albumin of theearly enteral and fewer ten patients experienced septic complications has improvedramatically in14day,there was a statistically significant difference.(p<0.05)Conclusions Early enteral nutrition optimization strategy costs less,shorten themechanical ventilation time,reduce the occurrence rate of VAP andcomplication.When the gut works, and can be used safely,use it early.