高能型肠内营养乳剂在高龄伴吞咽困难患者的应用价值  

Application value of high energy enteral nutritional emulsion for elderly patients with dysphagia

作　　者：潘文松[1] 梁桂珍[1] 钟冕[1] 

机构地区：[1]广东省佛山市第一人民医院临床营养中心,528000

出　　处：《中国实用医刊》2014年第6期44-46,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨高龄伴吞咽困难患者采用高能型肠内营养乳剂与普通鼻饲流质治疗方案疗效的差异性。方法选取2011年1月至2012年12月就诊于佛山市第一人民医院康复科的142例高龄患者作为观察对象，根据住院号随机将患者分为观察组（78例）和对照组（64例），观察组采用肠内营养乳剂提供营养支持疗法，对照组予以普通鼻饲流质。观察两组治疗前后血清各蛋白的差异性，评价患者细胞免疫指标。结果两组患者治疗4周后的肱三头肌皮褶厚度、上臂肌围、体质量指数和血清总蛋白、血红蛋白均有所增加，免疫学数据CD3＋、CD4＋、CD4＋／CD8＋均有显著提高，而观察组各项指标均优于对照组，差异均有统计学意义（P〈0．05）。结论高龄伴吞咽困难患者予以肠内营养乳剂辅助康复治疗，安全性、有效性好，值得临床进一步推广应用。Objective To investigate the treatment differences of elderly patients with dysphagia by high energy enteral nutritional emulsion and ordinary nasogastic liquid. Methods The 142 elderly patients from January 2011 to December 2012 in physiatry department of our hospital were chose as research object, according to the hospitalized number, the patients were randomly divided into observation group （78 cases） and control group （64 cases） , in observation group, nutritional support therapy was given by enteral nutritional emulsion, patients in control group were given ordinary nasogastic liquid therapy. The serum protein differences in two groups were observed before and after treatment, cellular immunity indeses in patients were evaluated. Results After 4 weeks treatment, TSF, AMC, BMI and ALB, Hb increased in two groups, immunological data such as CD3 ＋ , CD4＋ , CD4 ＋/CD8 ＋ significantly improved, and the indexes in observation group were better than those in control group, the differences were statistically significant（P 〈 0. 05 ）. Conclusions For elderly patients with dysphagia, enteral nutritional emulsion adjuvant therapy is safe, and effective, it is worthy of further clinical application.

关 键 词：营养支持疗法 肠内营养 高龄患者 

分 类 号：R459.3[医药卫生—治疗学]