肠内营养支持干预慢性阻塞性肺疾病合并呼吸衰竭的临床观察  

Clinical observation of the enteral nutrition intervention in the treatment of chronic obstructive pulmonary disease patients with respiratory failure

作　　者：黄维建[1] 

机构地区：[1]田东县人民医院呼吸内科,广西531500

出　　处：《中国临床新医学》2010年第9期886-888,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的通过观察不同途径营养支持在慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者治疗中的效果,探讨适宜的营养支持方案。方法选取呼吸内科住院的COPD合并呼吸衰竭的患者70例,随机分为肠内营养组和静脉营养组,分别给予相同热量和氮量的肠内或肠外营养制剂,对比营养指标变化、治疗效果及病死率等。结果两组间的营养指标(白蛋白、前白蛋白)差异有统计学意义(P<0.05)。肠内营养组血红蛋白较静脉营养组增高,病死率较静脉营养组低,但差异无统计学意义(P>0.05)。结论 COPD合并呼吸衰竭的患者,给予营养支持治疗是非常必要的,对于有完整胃肠道功能的患者应首选肠内营养,肠内营养支持可明显改善危重患者的营养状况,改善免疫功能,从而提高治疗的综合效果。Objective To observe the different ways of nutrition support in the treatment of chronic obstructive pulmonary disease patients （COPD） with respiratory failure. Methods Seventy hospitalized COPD patients with respiratory failure in the department of respiratory diseases were randomly divided into the enteral nutrition group and the parenteral nutrition group and were given enteral or parenteral nutrition preparation the same heat and nitrogen respectively, and the nutrition index changing, mortality, adverse reactions, etc were compared. Results The nutrition index （albumin, prealbmnin） ＇s difference between two groups was statistically significant （P 〈 0. 05）. In the enteral nutrition group,hemoglobin was increased, mortality was reduced compared with parenteral nutrition group, but the difference in the mortality and the hemoglobin between two groups was not statistically significant （P 〉 0. 05）. Conclusion For COPD patients with respiratory failure, the support treatment of nutrition is very essential; for patients with a complete gastrointestinal fimction, the enteral nutrition should be preferred, the enteral nutrition support can improve the nutritional status of critieall ill patients, thereby enhancing the combined effect of the treatment.

关 键 词：慢性阻塞性肺疾病 营养支持 肠内营养 

分 类 号：R563.5[医药卫生—呼吸系统]