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目的 探究ICU肿瘤重症患者运用早期营养支持后在降低呼吸机相关性肺炎方面所产生的影响.方法 选取我院收治的ICU肿瘤重症患者80例,且均在2014G1-2016G6入院,依随机分组标准分为观察组(40例)和对照组(40例).对照组和观察组分别为常规营养支持治疗和早期营养支持治疗.从呼吸机相关性肺炎发生率、血气分析改善、营养状况改善及生存质量状况四方面入手,针对相关内容进行分析.结果 对照组呼吸机相关性肺炎发生率(30%)比观察组(15%)高(P<005);在氧分压、二氧化碳分压、血氧饱和度方面,观察组治疗后明显优于对照组(P<005);观察组患者营养状况改善情况明显优于对照组(P<005);在生存质量方面,观察组患者各项指标得分均比对照组高(P<005).结论 ICU肿瘤重症患者运用早期营养支持后,在降低呼吸机相关性肺炎发生率的同时,使患者血气分析及营养状况均显著改善,且患者生存质量明显提高,存在一定推广价值.
Objective To investigate the effect of early nutritional support on the reduction of ventilator-associated pneumonia in intensive care patients with ICU.Methods Totally 80 ICU patients with severe oncology admitted to our hospital were enrolled in 2014G1-2016G6, (40 cases) and control group (40 cases) .The control group and the observation group were routine nutrition support therapy and early nutritional support treatment.Results: The incidence rate of ventilator-associated pneumonia, blood gas analysis, improvement of nutritional status and survival (30%) than the observation group (15%) (P <005); in the oxygen partial pressure, partial pressure of carbon dioxide, blood Oxygen saturation, the observation group was significantly better than the control group after treatment (P <005); observation group patients with nutritional status improved significantly better than the control group (P <005); in the quality of life, the observation group patients score (P0.005) .Conclusion The use of early nutritional support in patients with severe ICU tumor can decrease the incidence of ventilator-associated pneumonia and improve the blood gas analysis and nutritional status of patients with ICU, and patients Keep quality has improved significantly, there are some promotional value.