Analysis the Effect of Enteral Nutrition on Critically Ill Patients with Hyperglycemia

OBJECTIVE To observe the effect of enteral nutrition on critically ill patients with hyperglycemia such as glucose, lipids, electrolytes, nitrogen balance, protein and so on. METHODS Retrospective analysis 207 cases of hyperglycemia patients applied with three different enteral nutrition of the same calorie. RESULTS Glucerna group patients had small change in fasting blood glucose and didn’t need additional insulin. The fasting blood glucose of Nutrison fibre group and Ensure group increased significantly (P<0.05) and need additional insulin therapy. The electrolyte blood lymphocyte count, albumin and transferrin levels of three groups were in normal range. And there was no significant difference in three groups (P>0.05). All patients had negative nitrogen balance in early stage. There was no significant change in serum triglyceride, cholesterol before and after enteral nutrition (P>0.05). CONCLUSION The critically ill patients with hyperglycemia should use enteral nutrition as soon as possible. High dietary fiber and monounsaturated fatty acids nutritional supplements are more beneficial than the high sugar nutritional supplements for them. The usage of insulin is reduced without affecting the lipid.