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.	喬良, 劉志. 急性呼吸窘迫綜合征的診斷標準及早期識別. 中華急診醫學雜志, 2015, 24(3): 237-240.
7.	陳國慶, 宋秀銀, 郭彥萍. 腸內營養耐受評估干預對 ICU 危重癥患者營養狀況及腸內營養耐受性的影響. 齊魯護理雜志, 2020, 26(7): 123-126.
8.	孫麗娟, 薛森海, 閆鳳, 等. 預消化的腸內營養對 ICU 危重癥患者的營養狀況及腸內營養耐受性的影響. 現代生物醫學進展, 2019, 19(10): 1883-1888.
9.	朱金鳳, 羅月, 姚惠萍, 等. 基于信息化的腸內營養耐受性動態管理對重癥病人喂養效果的影響. 腸外與腸內營養, 2020, 27(2): 104-108.
10.	張傳坤, 張立文. 血乳酸水平與 AECOPD 患者早期腸內營養耐受性的相關性分析. 當代護士 (下旬刊), 2018, 25(12): 9-10.
11.	張志忠, 王艷, 王振洲, 等. 空腸營養支持在危重患者中的應用研究進展. 臨床急診雜志, 2018, 19(6): 415-418.
12.	朱力, 繩宇. 持續與間斷腸內營養喂養方式對危重患者腸內營養耐受性的影響分析. 中華現代護理雜志, 2017, 23(8): 1113-1116.
13.	王春霞, 高培陽, 韓寬懷, 等. 參苓白術散聯合腸內營養對危重病患者預后的影響: 多中心隨機對照研究. 中國中西醫結合雜志, 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.	程偉鶴, 劉華平, 史冬雷, 等. 機械通氣患者腹內壓與腸內營養喂養不耐受的相關性研究. 中國護理管理, 2018, 18(3): 361-367.
17.	陳凜, 陳亞進, 董海龍, 等. 加速康復外科中國專家共識及路徑管理指南 (2018 版). 中國實用外科雜志, 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. 喬良, 劉志. 急性呼吸窘迫綜合征的診斷標準及早期識別. 中華急診醫學雜志, 2015, 24(3): 237-240.
7. 陳國慶, 宋秀銀, 郭彥萍. 腸內營養耐受評估干預對 ICU 危重癥患者營養狀況及腸內營養耐受性的影響. 齊魯護理雜志, 2020, 26(7): 123-126.
8. 孫麗娟, 薛森海, 閆鳳, 等. 預消化的腸內營養對 ICU 危重癥患者的營養狀況及腸內營養耐受性的影響. 現代生物醫學進展, 2019, 19(10): 1883-1888.
9. 朱金鳳, 羅月, 姚惠萍, 等. 基于信息化的腸內營養耐受性動態管理對重癥病人喂養效果的影響. 腸外與腸內營養, 2020, 27(2): 104-108.
10. 張傳坤, 張立文. 血乳酸水平與 AECOPD 患者早期腸內營養耐受性的相關性分析. 當代護士 (下旬刊), 2018, 25(12): 9-10.
11. 張志忠, 王艷, 王振洲, 等. 空腸營養支持在危重患者中的應用研究進展. 臨床急診雜志, 2018, 19(6): 415-418.
12. 朱力, 繩宇. 持續與間斷腸內營養喂養方式對危重患者腸內營養耐受性的影響分析. 中華現代護理雜志, 2017, 23(8): 1113-1116.
13. 王春霞, 高培陽, 韓寬懷, 等. 參苓白術散聯合腸內營養對危重病患者預后的影響: 多中心隨機對照研究. 中國中西醫結合雜志, 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. 程偉鶴, 劉華平, 史冬雷, 等. 機械通氣患者腹內壓與腸內營養喂養不耐受的相關性研究. 中國護理管理, 2018, 18(3): 361-367.
17. 陳凜, 陳亞進, 董海龍, 等. 加速康復外科中國專家共識及路徑管理指南 (2018 版). 中國實用外科雜志, 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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