基于喂养方案的早期肠内营养对AECOPD合并呼衰患者心肺功能及康复的影响OA

Objective:To evaluate the impact of early enteral nutrition nursing based on feeding protocol(EEN-FP)on rehabilitation and cardiopulmonary function in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated by respiratory failure.Method:A total of 120 patients admitted to the Xiamen Medical College Affiliated Haicang Hospital from January 2022 to January 2024 were randomized into the control(routine enteral nutrition)and the observation group(EEN-FP intervention),with 60 cases in each group.Nutritional support was dynamically adjusted using acute gastric injury(AGI)grading and enteral nutrition tolerance scores.Outcomes included mechanical ventilation duration,intensive care unit(ICU)length of stay,cardiac function[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)],pulmonary function[forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),oxygenation index],and feeding intolerance incidence were compared between the two groups.Result:The mechanical ventilation time and intensive care unit hospitalization time in the observation group were shorter than those in the control goup,and the total incidence of feeding intolerance was lower than that in the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the baseline data between the two groups and the cardiac function and pulmonary function indicators before the intervention(P>0.05).Conclusion:EEN-FP can accelerate the rehabilitation process of patients with AECOPD accompanied by respiratory failure,improve cardiopulmonary function and reduce the risk of feeding intolerance.However,attention should be paid to the potential impact of individualized nutritional assessment on gastrointestinal function.