肠内和肠外营养支持在老年重症肺炎病人中的应用  

Application of enteral and parenteral nutrition support in elderly patients with severe pneumonia

作　　者：邓青南[1] 王灿敏[1] 孙杰[1] 张德明[1] 

机构地区：[1]中国人民解放军广州军区广州总医院内六科,广东省广州市510010

出　　处：《实用老年医学》2008年第5期371-373,共3页Practical Geriatrics

摘　　要：目的研究老年重症肺炎病人肠内和肠外营养支持效果。方法对呼吸重症监护病房38例老年重症肺炎病人的营养支持情况进行分析,其中肠内营养支持组20例,完全肠外营养支持组18例,摄入同等热量和同等氮量,营养支持时间>10 d。结果经肠内营养支持后,血红蛋白、白蛋白和血清前白蛋白明显升高(P<0.05),免疫球蛋白显著升高(P<0.01);而完全肠外营养支持后,各指标差异无显著性。结论老年重症肺炎病人救治中,根据病人的不同情况,选择合适的营养支持方式,肠内营养有更好的代谢效应及营养效果,并能改善病人的免疫功能。Objective To investigate the effect of enteral and parenteral nutrition on elderly patients with severe pneumonia. Methods Nutrition support was analyzed in 38 elderly patients with severe pneumonia in RICU,with 20 cases supported by enteral nutrition and 18 cases supported by total parenteral nutrition. All patients received the same energy and the same nitrogen, and the time of nutritional support was more than 10 days. Results The levels of hemoglobin, serum albumin, prealbumin and immunoglobulin were significantly increased after nutritional support compared with those before entenal nutrition （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusions In elderly patients with severe pneumonia, nutrition support should be selected. EN support has better nutritional effect and ean improve immune function.

关 键 词：重症肺炎 老年人 肠内营养 肠外营养 

分 类 号：R563.1[医药卫生—呼吸系统]