The intolerance of enteral nutrition in elderly critically ill patients
Conditions
Interventions
Treatment group:Basic Western medicine treatment is given concurrently with external acupoint application therapy using traditional Chinese medicine hot compress packs
Sponsors
Zhejiang Provincial Li Tongde Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: (1) Age = 65 years; (2) Meets the definition of critically ill patients, with an APACHE II score greater than 18; (3) Nutritional Risk Screening (NRS) score = 2 points; (4) Patients with a nasogastric tube in place for enteral nutrition; (5) Patients without other acute or chronic gastrointestinal diseases prior to admission; (6) Patients who agree to participate in this study and have signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with a history of gastrointestinal dysfunction-related diseases; 2. Patients who are unable to assume the required treatment position due to their condition; 3. Patients with local skin breakdown, abscess, infection, or significant coagulation or hematopoietic system dysfunction at the site of acupuncture application; 4. Patients allergic to any of the drugs used in the study protocol; 5. Patients whose APACHE II score is outside the inclusion criteria range, specifically less than 18 points; 6. Patients with intestinal ischemia, obstruction, or infarction, or other contraindications for enteral nutrition, making it impossible to implement enteral nutrition; 7. Patients or their families who refuse to participate or withdraw from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Traditional Chinese Medicine (TCM) syndrome quantitative scoring; | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate;blood pressure;breathe;electrocardiogram;Blood Routine;High-sensitivity CRP;Blood Gas Analysis;Blood Biochemistry;Enteral Nutrition Feeding Tolerance Scoring;Assessment of gastrointestinal function using dynamic single-plane ultrasound method.;Gastrointestinal Function Scoring;Gastrointestinal Function Impairment Grading Scale (AGI Grading Scale);Critical Illness Nutritional Risk Score (NUTRIC scoring system);APACHE II Score; | — |
Countries
China
Contacts
Public ContactChen Yang Bo
Zhejiang Provincial Li Tongde Hospital
Outcome results
None listed