健康研究2024，Vol.44Issue(2)：208-212,5.DOI:10.19890/j.cnki.issn1674-6449.2024.02.019
重型颅脑损伤患者肠内营养相关性腹泻的危险因素分析
Risk factors of enteral nutrition associated diarrhea in patients with severe traumatic brain injury
张颖 1陈雅芳 1徐帅 1黄小红 1何学愚1
作者信息
- 1. 中国人民武装警察部队海警总队医院 急诊科,浙江 嘉兴 314000
- 折叠
摘要
Abstract
Objective To investigate the incidence and influencing factors of enteral nutrition related diarrhea in patients with severe traumatic brain injury in the intensive care unit.Methods A total of 124 patients with severe traumatic brain injury undergoing enteral nutrition therapy through a nasogastric tube were selected to observe the occurrence of diarrhea within 7 d after enteral nutrition.Logistic regression analysis was conducted to identify the risk factors for enteral nutrition-related diarrhea in these patients.Results Among the 124 patients with severe traumatic brain injury,41 cases experienced diarrhea during enteral nutrition,resulting in an incidence rate of 33.06%.Logistic regression analysis revealed that the following factors were significantly associated with an increased risk of enteral nutrition-related diarrhea in patients with severe traumatic brain injury(P<0.05):Glasgow coma scale(GCS)score<5(OR=3.155),daily dosage of nutritional supplements≥1 000 mL/d(OR = 1.293),hypoalbuminemia(OR = 4.018),use of two or more antibiotics(OR = 2.161),use of potassium preparations via the digestive tract(OR=2.902),and fasting for more than 48 hours(OR= 2.730).Conclusions The occurrence of enteral nutrition-related diarrhea in patients with severe traumatic brain injury is associated with factors such as GCS score,dosage of nutritional supplements,fasting duration,use of antibiotics,and use of potassium preparations via the digestive tract.关键词
重型颅脑损伤/腹泻/肠内营养/危险因素Key words
severe traumatic brain injury/diarrhea/enteral nutrition/risk factor分类
医药卫生引用本文复制引用
张颖,陈雅芳,徐帅,黄小红,何学愚..重型颅脑损伤患者肠内营养相关性腹泻的危险因素分析[J].健康研究,2024,44(2):208-212,5.
