资源描述：
《用EN须尽早----早期肠内.ppt》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、用EN须尽早----早期肠内营养（EEN）一项Meta分析纳入了6个RCT，研究24h内给予ICU患者早期肠内营养（EEN）相对于24h后开始EN，对患者临床结局的影响DoigGS,etal.Earlyenteralnutrition,providedwithin24hofinjuryorintensivecareunitadmission,significantlyreducesmortalityincriticallyillpatients:ameta-analysisofrandomizedcontrolledtrials.IntensiveCareMed,2009;35:2
2、018–27EEN可降低ICU患者的死亡率DoigGS,etal.Earlyenteralnutrition,providedwithin24hofinjuryorintensivecareunitadmission,significantlyreducesmortalityincriticallyillpatients:ameta-analysisofrandomizedcontrolledtrials.IntensiveCareMed,2009;35:2018–27EEN可降低ICU患者肺炎的发生率DoigGS,etal.Earlyenteralnutrition,provid
3、edwithin24hofinjuryorintensivecareunitadmission,significantlyreducesmortalityincriticallyillpatients:ameta-analysisofrandomizedcontrolledtrials.IntensiveCareMed,2009;35:2018–27EEN对外科术后患者的影响一项研究纳入1173例胃肠外科术后患者，24h内给予EEN的试验组，与不给于EN的对照组相比，对临床结局的影响LewisSJ,etal.Earlyenteralnutritionwithin24hofintes
4、tinalsurgeryversuslatercommencementoffeeding:asystematicreviewandmeta-analysis.JGastrointestSurg,2009;13(3):569-75.EEN降低外科患者的死亡率LewisSJ,etal.Earlyenteralnutritionwithin24hofintestinalsurgeryversuslatercommencementoffeeding:asystematicreviewandmeta-analysis.JGastrointestSurg,2009;13(3):569-75.E
5、EN对烧伤患者的影响MosierMJ,etal.Earlyenteralnutritioninburns:compliancewithguidelinesandassociatedoutcomesinamulticenterstudy.JBurnCareRes,2011;32(1):104-9.一项研究纳入153例烧伤患者，试验组给予24h内EEN，对照组在烧伤24h后开始EN。EEN影响烧伤患者的ICU住院时间MosierMJ,etal.Earlyenteralnutritioninburns:compliancewithguidelinesandassociatedoutcom
6、esinamulticenterstudy.JBurnCareRes,2011;32(1):104-9.EEN对颅脑外伤患者的影响ChiangYH,etal.EarlyEnteralNutritionandClinicalOutcomesofSevereTraumaticBrainInjuryPatientsinAcuteStage:AMulti-CenterCohortStudy.JNeurotrauma,2011Aug4.[Epubaheadofprint]GCS评分4-8分的严重创伤性脑损伤患者中，试验组145例在受伤后48h内接受EN，对照组152例给予静脉补液治疗EEN提
7、高sTBI患者的生存率和GCS恢复，改善预后，尤其对GCS评分6-8的患者效果显著HR95%CI：8.58～24.91ChiangYH,etal.EarlyEnteralNutritionandClinicalOutcomesofSevereTraumaticBrainInjuryPatientsinAcuteStage:AMulti-CenterCohortStudy.JNeurotrauma,2011Aug4.[Epubaheadofprint]P<0.05早期空
