慢性阻塞性肺疾病急性加重期患者早期肠内营养护理干预  

Nursing interventions of early enteral nutrition in patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：江月娥[1] 彭剑芳[1] 林志萍[1] 

机构地区：[1]肇庆市第一人民医院呼吸内科,526021

出　　处：《国际医药卫生导报》2009年第23期95-97,共3页International Medicine and Health Guidance News

摘　　要：目的探讨早期肠内营养在慢性阻塞性肺疾病(chronicobstructive pulmonarydisease)急性加重期患者治疗中的护理干预。方法将慢性阻塞性肺疾病(COPD)急性加重期患者60例随机分为试验组和对照组,于入院后24h内分别给予鼻饲肠内营养支持和普通鼻饲饮食,两组患者分别于入院第1天及21天测定血清总蛋白质、血清白蛋白、血红蛋白含量。并观察营养指标的变化和呼吸功能变化。结果21天后,肺功能和血气检查,试验组的FVC、FEV/FVC及PaO2有明显改善(P<0.05),试验组的营养指标亦显著优于对照组。结论早期肠内营养是COPD患者的一项重要治疗措施,良好细致的护理是保证其成功实施的关键。Objective To investigate the nursing interventions of early enteral nutrition in patients with acute exacerbation of chronic obstructive pulmonary disease（COPD）.Methods Sixty patients of COPD were randomly divided into experimental group and control group.They were received enteral nutrition via-nasogastric tube and ordinary nasal feeding respectively within 24 hours after admission.The levels of total protein of serum,serum album,haematoglobin in both groups were detected on the first day and the 21th day respectively the nutritive index and the respiratory function were observed,Reaults Measurements of pulmonary function and arterial blood gas：FVC,FEC I/FVC,PaO2 in the experimental group were significantly improved （P 〈 0.05） after 21 days＇ therapy.The nutritive index of the experimental group was also significantly better than that of the control group.Conclusions Early enteral nutritional support is very useful in the treatment for patients with COPD.High quality nursing is important for the implementation of enleral nutrion

关 键 词：慢性阻塞性肺疾病 早期肠道内营养 护理干预 

分 类 号：R473.5[医药卫生—护理学]