The impact of individualized nutritional intervention on intestinal recovery in patients with severe gastrointestinal dysfunction
个体化营养干预对重症胃肠功能障碍患者肠道恢复的影响

摘要

目的 探究个体化营养干预模式对重症胃肠功能障碍患者肠道恢复的影响。方法 选取2025年本院重症医学科收治的90例重症胃肠功能障碍患者作为研究对象，采用随机数字表法分为对照组与实验组各45例。对照组实施重症胃肠功能障碍常规营养支持护理，实验组实施个体化营养干预。比较两组患者肠道恢复指标（首次排气、排便时间）、胃肠功能评分、并发症发生率。结果 实验组首次排气、排便时间显著短于对照组，干预后胃肠功能评分显著低于对照组，并发症发生率显著低于对照组（P＜0.05）。结论 个体化营养干预可有效促进重症胃肠功能障碍患者肠道功能恢复，改善胃肠功能状态，降低并发症风险，保障营养支持有效性，契合重症患者诊疗康复需求，具有重要临床应用价值。

Abstract

Objective To explore the impact of individualized nutritional intervention model on intestinal recovery in patients with severe gastrointestinal dysfunction.
Methods A total of 90 patients with severe gastrointestinal dysfunction admitted to the Intensive Care Unit of our hospital in 2025 were selected as the study subjects and divided into a control group and an experimental group using a random number table method, with 45 patients in each group. The control group received conventional nutritional support nursing for severe gastrointestinal dysfunction, while the experimental group received individualized nutritional intervention. The intestinal recovery indicators (time to first exhaust and defecation), gastrointestinal function scores, and complication rates were compared between the two groups.
Results The time to first exhaust and defecation in the experimental group was significantly shorter than that in the control group, and the gastrointestinal function scores after intervention were significantly lower than those in the control group, with a significantly lower complication rate(P<0.05).
Conclusion   Individualized nutritional intervention can effectively promote intestinal function recovery in patients with severe gastrointestinal dysfunction, improve gastrointestinal function status, reduce the risk of complications, ensure the effectiveness of nutritional support, meet the diagnosis, treatment, and rehabilitation needs of critically ill patients, and has important clinical application value.