Objective To investigate the effect of different enteral feeding methods on critical patients' tolerance of enteral nutrition. Methods Totally 80 patients receiving enteral nutrition feeding were equally divided into an observation group and a control group according to the random number table. Patients in the observation group received intermittent high-speed feeding,while patients in the control group received continuous feeding with constant velocity. Then the patients were compared in terms of their tolerance of enteral nutrition. Results As for patients in the observation group,70% showed good tolerance of enteral nutrition;22.5% had moderate tolerance;and the other 7.5% displayed intolerance. Among patients in the control group, 72.5% displayed good tolerance;17.5% showed moderate tolerance;and the remaining 10% had intolerance (χ2=0.410,P>0.05). Conclusions Intermittent enteral nutrition feeding may be a priority to critical patients that score under 20 by ACAHECII and aged under 60;according to the latest international guidelines,patients' tolerance of enteral nutrition must be monitored on a daily basis,in case enteral nutrition should be stopped improperly.

Objective Compare the effect of reducing patients′ pulmonary infection by different post-thoracotomy breathing intervention management modes. Methods A total of 88 sampled patients, who had done thoracotomy, were divided chronologically 44 each into control group (February to March 2013) and test group ( April to May 2013 ) . Regular respiratory intervention management were conducted on the control groups and refined respiratory intervention management were given to the test groups, compare the effect of two groups. Results The temperatures (36. 27 ± 0. 30)℃ of the patients from the test group at 6 pm in the 4th day after surgery were lower than ( 36. 78 ± 0. 36 )℃ of the control group; difference between the two groups were statistically significant (t=7. 35,P<0. 05). The white blood cell analysis (6. 07 ± 1. 43) × 109/L in the 4th after surgery of experimental group tend to be more normal than the white blood cell analysis (7. 61 ± 1. 94) × 109/L of the control group with statistical significance (t=4. 27,P<0. 05). There were all normal for chest X ray in the test group, but 4 cases with lung patchy infiltrate shadows in the control group with incidence rate 9. 09%. Conclusions Refined breathing intervention management can make the body temperature, white blood cell, neutrophils ratio of post-operative patients recover to normal range quick without lung auscultation wet rales, and prevent post-thoracotomy pulmonary infection.