Effect of early enteral nutrition support care on critically ill patients fasting in ICU
早期肠内营养支持护理在ICU禁食危重症患者中的应用效果

摘要

目的 探究对ICU禁食危重症患者实施早期肠内营养支持护理干预的临床效果。方法 选取2024年1月-2025年6月我院49例ICU禁食危重症患者，随机分对照组（24例，常规营养支持护理）和观察组（25例，早期肠内营养支持护理干预），比较营养指标（血清白蛋白、转铁蛋白、前白蛋白）、入住ICU时间、APACHEⅡ评分。结果 干预前，两组营养指标差异无统计学意义（P＞0.05）；干预后，观察组营养指标显著高于对照组（P＜0.001），入住ICU时间更短（P＜0.001），APACHEⅡ评分更低（P＜0.001）。结论 早期肠内营养支持护理可改善ICU禁食危重症患者营养指标与病情，促进康复，值得临床推广。

Abstract

Objective To explore the clinical effect of implementing early enteral nutrition support nursing intervention for ICU fasting critically ill patients.
Methods A total of 49 ICU fasting critically ill patients admitted to our hospital from January 2024 to June 2025 were selected and randomly divided into a control group (24cases, receiving routine nutrition support nursing) and an observation group (25cases, receiving early enteral nutrition support nursing intervention). The nutritional indexes (serum albumin, transferrin, prealbumin), length of stay in ICU, and APACHE Ⅱ score were compared between the two groups.
Results Before the intervention, there was no statistically significant difference in nutritional indexes between the two groups (P >0.05). After the intervention, the nutritional indexes of the observation group were significantly higher than those of the control group (P<0.001), the length of stay in ICU was shorter (P<0.001), and the APACHE Ⅱ score was lower (P<0.001).
Conclusion   Early enteral nutrition support nursing can improve the nutritional indexes and condition of ICU fasting critically ill patients, promote their rehabilitation, and is worthy of clinical promotion.