鼻空肠管在重度COPD患者营养支持治疗中的应用研究  

An applied study of nasojejunal tube used in severe COPD patients in nutrition support treatment

作　　者：吕立珍[1] 赖丽英[1] 周翠先[1] 张琳娜[1] 

机构地区：[1]广州市第十二人民医院呼吸内科,510620

出　　处：《国际护理学杂志》2011年第1期19-21,共3页international journal of nursing

摘　　要：目的探讨重度慢性阻塞性肺疾病（COPD）患者应用鼻空肠管行肠内营养（EN）支持疗法的临床应用价值。方法选择住院Ⅲ、Ⅳ级COPD患者共96例。随机分为X（30例）、B（32例）、C（34例）兰组。A组：常规治疗＋鼻空肠管EN；B组：常规治疗＋鼻胃管EN；C组：常规治疗＋普通饮食。治疗20d后，比较三组患者的营养指标、呼吸功能指标和死亡率的差异。结果A、B、c三组患者在治疗后营养指标和呼吸功能指标均有显著改善，A组〉B组〉C组（P〈0．05或P〈0．01），A组死亡率低于B、C组（P〈0．01）。结论重度COPD患者应用鼻空肠管行肠内营养支持治疗，更有利于患者的康复，并明显降低其死亡率。Objective To explore clinical application of nasojejunal tube for enteral nutrition （EN） support therapy on the severe chronic occlusion pulmonary disease （COPD） patients. Methods A total of 96 patients with Ⅲ, Ⅳ COPD were randomly divided into three groups： A （30 cases）, B （32 cases）, C （34 cases） . A group was received routine therapy and nasal jejunal tube EN B group was re ceived routine therapy and nasogastric EN C group was received routine therapy and normal diet. At 20 days after treatment, three groups of patients with nutritional indicators, respiratory function indicators and mortality differences were compared. Results After treatment, the nutrition indicators and respiratory function parameters of three groups were significantly improved （P 〈0. 05 or P 〈0. 01 ）, and A group mortality rate was lower than B, C groups （P 〈 0. 01 ） . Conclusions Severe COPD patients with nasal jejunal tube for enteral nutrition therapy will make for recovering, and the mortality rate is significantly reduced.

关 键 词：鼻空肠管 慢性阻塞性肺疾病 肠内营养 

分 类 号：R473.5[医药卫生—护理学]