中药联合鼻肠管肠内营养支持治疗在COPD急性加重期并发营养不良病人中的作用  

The function of combinational therapy of Chinese medicine and enteral nutrition support through nasal intestinal tube in the AECOPD patients with malnutrition

作　　者：张燕 李波 

机构地区：[1]宁波市镇海区人民医院呼吸科,浙江宁波315202

出　　处：《肠外与肠内营养》2015年第3期149-151,155,共4页Parenteral & Enteral Nutrition

基　　金：浙江省中医药科学研究基金资助(2011ZB136)

摘　　要：目的:探讨中药联合鼻肠管肠内营养在慢性阻塞性肺疾病(COPD)急性加重期伴营养不良病人支持治疗中可能发挥的作用。方法:选取60例COPD急性加重期且伴有营养不良的病人随机分为试验组和对照组,每组30例。试验组给予中药联合鼻肠管营养支持;对照组给予正常配比饮食,治疗2周。结果:试验组病人治疗后的营养学指标、肺功能水平均高于对照组,住院时间、一年内复发次数少于对照组。结论:中药联合鼻肠管肠内营养支持能促进机体蛋白质合成,增加体重,防止呼吸肌等骨骼肌分解,增强膈肌等呼吸肌群强度和促进收缩力恢复,促进排痰,缩短住院周期,降低复发率,有利于病人康复。Objective： To probe into the function of combinational therapy of Chinese medicine and enteral nutrition support through nasal intestinal tube in the AECOPD patients with malnutrition.Methods： 60 cases of selected AECOPD patients with malnutrition were randomly divided into the experimental group and control group. The combination therapy of Chinese medicine and enteral nutrition support through nasal intestinal tabe was used in the experimental group while the normal prepared diet was used in the control group. Results： In experimental group the nutrition indicators and lung function level were higher than that in the control group,and the hospital stays and recurrence rate in a year were less than those in the control group. Conclusion： The combined Chinese medicine and enteral nutrition through nasal intestinal tube can promote the protein synthesis,increase the body weight,prevent the decomposition of skeletal muscle,enhance the respiratory muscle patients.

关 键 词：慢性阻塞性肺疾病急性加重期 营养不良 中药联合肠内营养 鼻肠管 

分 类 号：R563.9[医药卫生—呼吸系统] R459.3[医药卫生—内科学]