肠内营养混悬液在老年慢性阻塞性肺疾病住院患者肠内营养中的应用  

Application of TPF-D in the enteral nutrition of the elderly inpatients with COPD

作　　者：彭妙官[1] 陈广原[1] 叶慧玲[1] 

机构地区：[1]广州医科大学附属第一医院老年科,广东省广州市510120

出　　处：《实用老年医学》2016年第3期206-208,共3页Practical Geriatrics

摘　　要：目的探索肠内营养混悬液(伊力佳)对慢性阻塞性肺疾病(COPD)患者营养指标的影响。方法在老年科住院的60例COPD患者,按照随机数字法分为试验组和对照组,试验组以口服伊力佳为肠内营养,对照组口服自制流质。观察的营养指标包括白蛋白、前白蛋白、转铁蛋白、体质量与皮褶厚度。结果治疗10 d后,试验组上述指标较治疗前有明显改善,差异具有统计学意义(P<0.05)。对照组较治疗前营养指标亦有所改善,但试验组的营养改善幅度高于对照组,差异具有统计学意义(P<0.05)。试验组与对照组比较,腹泻、饱胀、恶心、呕吐等不良反应生率差异无统计学意义(P>0.05)。结论肠内营养混悬液(伊力佳)能显著改善老年科住院的COPD患者的营养状况,且耐受性良好。Objective To investigate the influence of TPF-D （GLUCERNA ） on the nutritional indicators of the elderly inpatients with COPD. Methods Sixty cases of COPD were randomized into the experimental group and the control group. TPF-D were given as the enteral nutrition in the experimental group, and self-made liquid was given in the control group. The nutritional indicators including albumin, prealbumin, transferrin, weight and skip_fold thickness were observed after 10 days of treatment. Results There were significant changes in nutritional indicators in both control group and experimental group after treatment （ P〈 0. 05 ）. The nutritional indicators were improved more significantly in the experimental group than those of control group. There were no significant difference in the incidence rate of side effects such as diarrhea, bloating,nausea and vomiting（ P〉0. 05）. Conclusions TPF-D（ GLUCERNA ） significantly improves the nutritional indicators of elderly inpatients with COPD and is well tolerated.

关 键 词：慢性阻塞性肺疾病 肠内营养 营养指标 

分 类 号：R563[医药卫生—呼吸系统]