Effect Of Transcutaneous Electrical Acupoint Stimulation On Enteral Nutrition In Critically Ill Patients

ObjectiveTo investigate the effects of Transcutaneous Electrical Acupoint Stimulation(TEAS)on enteral nutrition compliance rate,biochemical indicators,gastrointestinal tolerance,and electrogastroenterogram in critically ill patients,and to explore its impact on the enteral nutrition compliance rate in critically ill patients,in order to promote the achievement of enteral nutrition goals.MethodsExperimental design using experimental subjects itself pre-and post-tested control trial,we selected 30 critically ill patients who met the inclusion criteria as research objects,and all patients underwent ICU routine treatment.According to the guidelines recommended:"permitted low calorie" principle,the target nutrient amount of the infusion was set to 25kcal/kg every day,and continued infusion of a "Nutrison Fibre" standard dosage form via a nasogastric tube or a nasal jejunal approachTEAS intervention program:Patients undergoing enteral nutrition intervention for TEAS,that is to choose the stimulation parameters of pulse intermittent wave(stimulus 2s,stop 3s,pulse last 0.5ms),the frequency is 25Hz,the current intensity is 15 mA,and the treatment was performed once a day for the bilateral Zusanli and Sanyinjiao points,continued for 7 daysMain effect indicators:1.Assessment of enteral nutrition goals:1)Enteral nutrition compliance rate.2)The time when the enteral nutrition input reaches the target supply.2.Biochemical monitoring of hemoglobin,total protein,albumin,fasting blood glucose and other indicatorsSecondary effect indicators:1.Gastrointestinal tolerance monitoring.2.Electrogastroenterogram monitoring:Electrogastroenterogram examination was performed for 30 minutes before the start of TEAS stimulation,for 1 hour during TEAS stimulation period,and for 30 minutes after TEAS stimulation,a total of 3 times.Result1.Intestinal nutrition compliance rate.The rate of Enteral nutrition compliance?60%,TEAS treatment accounted for 80%on the first day;30%on the third day;0%on the seventh day.The rate of enteral nutrition reached 60-80%,TEAS treatment accounted for 20%on the first day;40%on the third day;6.7%on the seventh day.The rate of enteral nutrition reached 80-100%,TEAS treatment accounted for 0%on the first day;23.3%on the third day;83.3%on the seventh day.The rate of enteral nutrition compliance was?100%,and TEAS treatment accounted for 0%on the first day;6.7%on the third day;10%on the seventh day.After TEAS treatment,the compliance rate of enteral nutrition on the seventh day in critically ill patients was higher than that on the first day and the third day(P<0.01).2.In terms of biochemical monitoring,after TEAS treatment:there was no significant difference in hemoglobin between critically ill patients(P>0.05);total protein and albumin on the seventh day were slightly higher than those on the first day(P<0.05);and there was no significant difference in fasting blood glucose(P>0.05).3.The effect of TEAS treatment on electrogastroenterogram in critically ill patients:After consecutive treatments,the incidence of bradyratio of gastric electrophysiology on the third day in the One Lead(stomach)was lower than that on the first day(P<0.05),on the seventh day were lower than that om the first day(P<0.05);the third day of normal gastric power frequency increased compared with the first day(P<0.05),and the seventh day increased compared with the first day(P<0.05);the normal gastric electrophysiology frequency increased both on the third day and seventh day compared with the first day(P<0.05);the seventh day of the dominant frequency increased compared with the first day(P<0.01);the proportion of gastric myoelectric arrhythmias decreased on the seventh day in the Fifth Lead(ascending colon)after TEAS treatment(P<0.05).ConclusionTEAS can improve the compliance rate of enteral nutrition in critically ill patients and achieve the goal of enteral nutrition.