Current Status Of Early Enteral Nutrition Intake Of Calories And Proteins In Patients With Respiratory Failure With Phlegm And Mengshenqiao Syndrome

Objective:to investigate the distribution of TCM syndrome types in patients with respiratory failure in ICU,analyze the clinical characteristics of respiratory failure syndrome with phlegm and devosmosis syndrome,understand the status of energy and protein intake in early enteral nutrition in respiratory failure syndrome with phlegm and devosmosis syndrome,explore the problems in early enteral nutrition support,and explore the causes and solutions.Methods:using cross-sectional study,collect related information,choose the inclusion criteria of ICU patients with respiratory failure,research of TCM syndrome type distribution of ICU patients with respiratory failure,respiratory failure analysis of the ICU phlegm obsessed with the god of nutritional risk,intake of energy/protein sufficiency,ICU stay time,mechanical ventilation time,the characteristics of the hospitalized days and prognosis.Conclusion:(1)were collected in accordance with the standard set of 70 patients with respiratory failure in the ICU and respiratory failure type of syndrome distribution from high to low in turn as the phlegm syndrome(51.43%)of god and the orifices,phlegm heat indicates pulmonary syndrome(17.14%),lung phlegm turbidity resistance syndrome(14.29%),lungs and spleen deficiency syndrome(7.14%),lung qi deficiency syndrome(4.29%),phlegm and blood stasis syndrome(2.86%),each lungs kidney deficiency syndrome(1.43%),is false asthma syndrome(1.43%).(2)for phlegm syndrome and phlegm god of god and the orifices qiao the APACHE II review branch t test,statistically significant differences in(t=3.424,P=0.001).For the branch rank sum test of SOFA,there was a statistically significant difference in SOFA scores between the two groups(P<0.001).(3)there were statistically significant differences in Nutric score and serum albumin in both groups(P=0.005)by rank-sum test for Nutric score and serum albumin in both groups.(4)chi-square test was carried out on the daily calorie/protein intake compliance ratio in the early(7d)period of the phlegm-induced and non-phlegm-induced syndrome.There was no statistically significant difference in the daily calorie/protein intake compliance ratio between the two groups,(5)rank sum test was carried out for the total number of days in hospital,stay time in ICU,and mechanical ventilation time of patients with phlegm-induced and non-phlegm-induced and mengshenqiao syndrome.There was no statistically significant difference in the total number of days in hospital between the two groups.There were statistically significant differences in ICU stay days and mechanical ventilation days(P=0.036,P=0.03 7).(6)chi-square test was conducted for the prognosis of patients with phlegm-induced and non-phlegm-induced osmosis syndrome and the overall prognosis of the two groups was statistically significant(chi-square test=6.283,P=0.043).Conclusion:1.The syndrome of phlegm and mengshenqiao syndrome is the most common TCM syndrome in ICU patients with respiratory failure.Compared with the non-phlegm and mengshenqiao syndrome,the condition is more critical and the nutritional risk is higher.2.In ICU patients with respiratory failure in our hospital,early enteral nutrition intake calories are basically sufficient,and protein intake is generally insufficient,which is also the case in patients with phlegm and psychosmosis syndrome.3.Compared with patients with non-phlegm and mengshenqiao syndrome,patients with phlegm and mengshenqiao syndrome have no difference in the total number of days in hospital,but the mechanical ventilation time and ICU stay time are longer,the rate of second intubation is higher,and the prognosis is worse.