Analysis of factors affecting enteral nutrition tolerance in patients accepting prone position ventilation_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LIANG Weibo , HE Weiqun , SANG Ling , LI Yimin , LIU Xiaoqing ,  NONG Lingbo

Department of Critical Care Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510000, P. R. China;

Corresponding author：

NONG Lingbo, Email: lbnong@qq.com

Keywords：

Prone position ventilation; Enteral nutrition; Gastric residual volume; Influencing factors

DOI：

10.7507/1671-6205.201910082

Video：

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Objective To investigate the factors affecting enteral nutrition tolerance in patients accepting prone position ventilation.Methods A retrospective study was conducted to analyze the tolerance of enteral nutrition in patients with prone position ventilation from January 2013 to December 2018. The single factor and multiple factors were used to analyze the influencing factors of enteral nutrition tolerance in patients accepting prone position ventilation.Results Ninety-two patients who met the inclusion criteria were divided into 2 groups according to enteral nutrition tolerance table: 45 patients with good tolerance and 47 patients with poor tolerance. Univariate analysis showed age, use of muscle relaxants, albumin, prealbumin, feeding amount per unit time, acute physiology and chronic health evaluation Ⅱ (APACHEⅡ), sequential organ failure assessment (SOFA), nutrition risk in critically ill (NUTRIC) score and gastric residual volume were factors affecting the patient's tolerance (P<0.05). Logistic analysis showed that the factors affecting the patient's tolerance during the prone position were age, use of muscle relaxant, albumin, prealbumin, APACHEⅡ, SOFA, and NUTRIC scores (P<0.05).Conclusion Factors affecting enteral nutrition tolerance in patients accepting prone position ventilation are age, use of muscle relaxants, albumin, prealbumin, APACHEⅡ, SOFA and NUTRIC scores.

Citation： LIANG Weibo, HE Weiqun, SANG Ling, LI Yimin, LIU Xiaoqing, NONG Lingbo. Analysis of factors affecting enteral nutrition tolerance in patients accepting prone position ventilation. Chinese Journal of Respiratory and Critical Care Medicine, 2020, 19(5): 478-482. doi: 10.7507/1671-6205.201910082 Copy

1.	Kapil S, Wilson JG. Mechanical ventilation in hypoxemic respiratory failure. Emerg Med Clin North Am, 2019, 37(3): 431-444.
2.	Jahani S, HajivandSoleymani Z, Asadizaker M, et al. Determination of the effects of prone position on oxygenation in patients with acute respiratory failure under mechanical ventilation in ICU. J Med Life, 2018, 11(4): 274-280.
3.	Fichtner F, Moerer O, Laudi S, et al. Mechanical ventilation and extracorporeal membrane oxygena tion in acute respiratory insufficiency. DtschArztebl Int, 2018, 115(50): 840-847.
4.	Mitchell DA, Seckel MA. Acute respiratory distress syndrome and prone positioning. AACN Adv Crit Care, 2018, 29(4): 415-425.
5.	Lucchini A, Bonetti I, Borrelli G, et al. Enteral nutrition during prone positioning in mechanically ventilated patients. Assist Inferm Ric, 2017, 36(2): 76-83.
6.	乔良, 刘志. 急性呼吸窘迫综合征的诊断标准及早期识别. 中华急诊医学杂志, 2015, 24(3): 237-240.
7.	陈国庆, 宋秀银, 郭彦萍. 肠内营养耐受评估干预对 ICU 危重症患者营养状况及肠内营养耐受性的影响. 齐鲁护理杂志, 2020, 26(7): 123-126.
8.	孙丽娟, 薛森海, 闫凤, 等. 预消化的肠内营养对 ICU 危重症患者的营养状况及肠内营养耐受性的影响. 现代生物医学进展, 2019, 19(10): 1883-1888.
9.	朱金凤, 罗月, 姚惠萍, 等. 基于信息化的肠内营养耐受性动态管理对重症病人喂养效果的影响. 肠外与肠内营养, 2020, 27(2): 104-108.
10.	张传坤, 张立文. 血乳酸水平与 AECOPD 患者早期肠内营养耐受性的相关性分析. 当代护士 (下旬刊), 2018, 25(12): 9-10.
11.	张志忠, 王艳, 王振洲, 等. 空肠营养支持在危重患者中的应用研究进展. 临床急诊杂志, 2018, 19(6): 415-418.
12.	朱力, 绳宇. 持续与间断肠内营养喂养方式对危重患者肠内营养耐受性的影响分析. 中华现代护理杂志, 2017, 23(8): 1113-1116.
13.	王春霞, 高培阳, 韩宽怀, 等. 参苓白术散联合肠内营养对危重病患者预后的影响: 多中心随机对照研究. 中国中西医结合杂志, 2020, 40(1): 41-45.
14.	Wang WN, Yang MF, Wang CY, et al. Optimal time and target for evaluating energy delivery after adjuvant feeding with small bowel enteral nutrition in critically ill patients at high nutrition risk. Nutrients, 2019, 11(3): 645.
15.	Md Ralib A, Mat Nor MB. Refeeding hypophosphataemia after enteral nutrition in a Malaysian intensive care unit: risk factors and outcome. Asia Pac J Clin Nutr, 2018, 27(2): 329-335.
16.	程伟鹤, 刘华平, 史冬雷, 等. 机械通气患者腹内压与肠内营养喂养不耐受的相关性研究. 中国护理管理, 2018, 18(3): 361-367.
17.	陈凛, 陈亚进, 董海龙, 等. 加速康复外科中国专家共识及路径管理指南 (2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
18.	Hasanpour-Dehkordi A, Solati K, Tali SS, et al. Effect of progressive muscle relaxation with analgesic on anxiety status and pain in surgical patients. Br J Nurs, 2019, 28(3): 174-178.
19.	Tamion F, Hamelin K, Duflo A, et al. Gastric emptying in mechanically ventilated critically ill patients: effect of neuromuscular blocking agent. Intensive Care Med, 2003, 29(10): 1717-1722.

1. Kapil S, Wilson JG. Mechanical ventilation in hypoxemic respiratory failure. Emerg Med Clin North Am, 2019, 37(3): 431-444.
2. Jahani S, HajivandSoleymani Z, Asadizaker M, et al. Determination of the effects of prone position on oxygenation in patients with acute respiratory failure under mechanical ventilation in ICU. J Med Life, 2018, 11(4): 274-280.
3. Fichtner F, Moerer O, Laudi S, et al. Mechanical ventilation and extracorporeal membrane oxygena tion in acute respiratory insufficiency. DtschArztebl Int, 2018, 115(50): 840-847.
4. Mitchell DA, Seckel MA. Acute respiratory distress syndrome and prone positioning. AACN Adv Crit Care, 2018, 29(4): 415-425.
5. Lucchini A, Bonetti I, Borrelli G, et al. Enteral nutrition during prone positioning in mechanically ventilated patients. Assist Inferm Ric, 2017, 36(2): 76-83.
6. 乔良, 刘志. 急性呼吸窘迫综合征的诊断标准及早期识别. 中华急诊医学杂志, 2015, 24(3): 237-240.
7. 陈国庆, 宋秀银, 郭彦萍. 肠内营养耐受评估干预对 ICU 危重症患者营养状况及肠内营养耐受性的影响. 齐鲁护理杂志, 2020, 26(7): 123-126.
8. 孙丽娟, 薛森海, 闫凤, 等. 预消化的肠内营养对 ICU 危重症患者的营养状况及肠内营养耐受性的影响. 现代生物医学进展, 2019, 19(10): 1883-1888.
9. 朱金凤, 罗月, 姚惠萍, 等. 基于信息化的肠内营养耐受性动态管理对重症病人喂养效果的影响. 肠外与肠内营养, 2020, 27(2): 104-108.
10. 张传坤, 张立文. 血乳酸水平与 AECOPD 患者早期肠内营养耐受性的相关性分析. 当代护士 (下旬刊), 2018, 25(12): 9-10.
11. 张志忠, 王艳, 王振洲, 等. 空肠营养支持在危重患者中的应用研究进展. 临床急诊杂志, 2018, 19(6): 415-418.
12. 朱力, 绳宇. 持续与间断肠内营养喂养方式对危重患者肠内营养耐受性的影响分析. 中华现代护理杂志, 2017, 23(8): 1113-1116.
13. 王春霞, 高培阳, 韩宽怀, 等. 参苓白术散联合肠内营养对危重病患者预后的影响: 多中心随机对照研究. 中国中西医结合杂志, 2020, 40(1): 41-45.
14. Wang WN, Yang MF, Wang CY, et al. Optimal time and target for evaluating energy delivery after adjuvant feeding with small bowel enteral nutrition in critically ill patients at high nutrition risk. Nutrients, 2019, 11(3): 645.
15. Md Ralib A, Mat Nor MB. Refeeding hypophosphataemia after enteral nutrition in a Malaysian intensive care unit: risk factors and outcome. Asia Pac J Clin Nutr, 2018, 27(2): 329-335.
16. 程伟鹤, 刘华平, 史冬雷, 等. 机械通气患者腹内压与肠内营养喂养不耐受的相关性研究. 中国护理管理, 2018, 18(3): 361-367.
17. 陈凛, 陈亚进, 董海龙, 等. 加速康复外科中国专家共识及路径管理指南 (2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
18. Hasanpour-Dehkordi A, Solati K, Tali SS, et al. Effect of progressive muscle relaxation with analgesic on anxiety status and pain in surgical patients. Br J Nurs, 2019, 28(3): 174-178.
19. Tamion F, Hamelin K, Duflo A, et al. Gastric emptying in mechanically ventilated critically ill patients: effect of neuromuscular blocking agent. Intensive Care Med, 2003, 29(10): 1717-1722.

Chinese Journal of Respiratory and Critical Care Medicine

Analysis of factors affecting enteral nutrition tolerance in patients accepting prone position ventilation

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