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Efficacy and safety of pectin-supplemented enteral nutrition in intensive care: a randomized controlled trial 期刊论文

编号：

66911760-21c5-470d-b380-50810ba4e1b3
作者：

Xi, Fengchan^[1];Xu, Xingwei^[1];Tan, Shanjun(谈善军)^[2]Gao, Tao^[1];Shi, Jialiang^[1];Kong, Yanxi^[1];Yu, Wenkui^[1];Li, Jieshou^[1];Li, Ning^[1];
语种：

English
期刊：

ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION ISSN：0964-7058 2017 年 26 卷 5 期 (798 - 803)
收录：
关键词：

enteral nutrition pectin intensive care unit gastrointestinal function randomized controlled trial
摘要：

Background and Objectives: Enteral nutrition (EN) can improve clinical outcomes as an important treatment in critically ill patients. However, when patients suffer from gastrointestinal function disorders, intestinal intolerance occurs and EN administration may be delayed and even fails to perform. Pectin, a structural heteropolysaccharide, could protect gastrointestinal function from disorders in many gastrointestianl diseases. The present study aimed to determine whether pectin-supplemented EN was safe and improved clinical outcomes in intensive care unit (ICU) patients. Methods and Study Design: Patients enrolled in ICU from August 2014 to January 2015 were randomized to EN group and pectin-supplemented EN group (PEC/EN group). Both group received isonitrogenous, isocaloric EN support within 36 hours after ICU admission, and last for 6 days. The primary endpoints were 30-day mortality and gastrointestinal intolerance. Results: There were 125 patients included in this study (63 in EN group, and 62 in PEC/EN group). The results showed that the 30-day mortality was 4.8% in EN group and 1.61% in PEC/EN group (p=0.317). PEC/EN group had a smaller gastrointestinal intolerance rate than EN group (41.3% vs 27.4%, p=0.04). Furthermore, there were shorter times to reach full EN (13.0 +/- 5.12 vs 9.99 +/- 1.91, p=0.05), length of ICU stay (17.9 +/- 9.72 vs 13.8 +/- 8.59, p<0.001), and length of hospital stay (32.9 +/- 19.0 vs 23.4 +/- 13.2, p<0.001) in EN group than those in PEC/EN group. Conclusions: These results revealed that pectin-supplemented EN was safe, and could improve clinical outcomes in ICU patients.
推荐引用方式
GB/T 7714：

Xi Fengchan,Xu Xingwei,Tan Shanjun, et al. Efficacy and safety of pectin-supplemented enteral nutrition in intensive care: a randomized controlled trial [J].ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION,2017,26(5):798-803.
APA：

Xi Fengchan,Xu Xingwei,Tan Shanjun,Gao Tao,&Li Ning.(2017).Efficacy and safety of pectin-supplemented enteral nutrition in intensive care: a randomized controlled trial .ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION,26(5):798-803.
MLA：

Xi Fengchan, et al. "Efficacy and safety of pectin-supplemented enteral nutrition in intensive care: a randomized controlled trial" .ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION 26,5(2017):798-803.

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