胃肠外营养支持对老年烧伤患者抗感染的疗效观察  

Anti-infectious effects of parenteral nutrition support in elderly patients with burns

作　　者：赵全[1] 朱毅[1] 张建明[1] 高志刚[1] 

机构地区：[1]天津市第四医院烧伤整形科天津市烧伤研究所,天津300222

出　　处：《临床和实验医学杂志》2007年第2期32-33,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的研究65岁以上老年人中小面积烧伤患者应用胃肠外营养支持抗感染的疗效。方法对104例住院治疗的老年烧伤患者随机分为两组。制定出抗感染治疗是否有效的临床判断标准和理化观察项目。结果治疗组的有效率达96.2%,而对照组的有效率只有36.0%。经过四周的治疗后,治疗组的理化指标达到正常或接近正常,而对照组的各项理化指标与治疗前相比变化不大。结论营养不良导致免疫功能低下,而营养不良是一个连续的改变过程。它始于老年病人进食量不能满足当时本身机体的需要,由于部分老年人在受伤前就存在着各种胃肠道疾患,而烧伤后的胃肠功能也存在不同程度的紊乱,这都影响了营养的吸收。对这部分老年人施行胃肠外营养支持来改善营养状况,对提高机体免疫力、抗感染是非常必要和有效的。Objective To investigate the anti -infectious effects of parenteral nutrition （PN） in elderly patients （65 years and older ） with burns of middle and small surface area. Methods 104 elderly patients with burns were randomized into 2 groups： one with PN and the other without. The criteria for judging the therapeutic results were laid down. Results The response rate was 96, 2% in treatment group and 36.0% in cantrel group. After 4 weeks of treatment, the observational indices returned to normal or approximately normal in treatment group patients, whereas these indices did not change significantly in control group patients. Conclusion Malnutrition decreases patients immunological function, Malnutrition progresses contanuously, it commences when the elderly＇s food - intake is unable to satisfy organism＇s requirement. Because diseases of digestive system exist before injury in part of old patients and gastrointestinal dysfunction appears after injury, the absorption of nutrients is impaired. PN can improve patients＇nutritional state, enhance organism＇s immunity and anti -infectious ability in these old patients.

关 键 词：胃肠外营养 老年 烧伤 抗感染 

分 类 号：R644[医药卫生—外科学]