Özet:

INTRODUCTION: In this study the influences of enteral versus combined enteral-parenteral nutrition with biochemical and antropometric parameters in intensive care patients were compared. METHODS: 30 cases who required ventilatory support in the intensive care unit were randomized into two groups. Daily calorie requirement of enteral group is supplied with enteral nutrition products entirely and daily calorie requirement of combined group is supplied with 50 % enteral and 50 % parenteral solutions. On days; 1, 7 and 14, all cases were tested for prealbumin, albumin, globulin, glucose, urea, creatinin, triglyceride, cholesterol, ALT, AST, electrolytes (sodium, potassium, chlorine, calcium, magnesium, phosphorus) and CRP serum levels and mid-arm circumference (MAC) and triceps skinfold (TSF) measurements were recorded. Daily calorie and protein intake and insulin requirement were recorded on days 1, 7 and 14 also. RESULTS: On day 14, total protein, globulin and triglyceride levels were significantly higher when compared to baseline levels in both groups; and BUN levels were significantly higher versus day 1 in enteral group significantly higher when compared to the combined group; CRP levels declined significantly in the two groups. There wasn’t any difference in MAC and TSF measurements between the groups. DISCUSSION AND CONCLUSION: When daily calorie and protein intake; blood glucose levels; glucose intolerance and insulin infusion requirement; laboratory measurements and antropometric measurements were compared, no difference was observed between the critical patients fed with enteral versus combined enteral-parenteral nutrition.

Anahtar Kelimeler: