四君子汤加减配制肠内营养液用于老年科肠内营养支持的效果观察  

Clinical efficacy of preparation of enteral nutrition solution with modified Sijunzi Decoction for enteral nutrition support in department of geriatrics

作　　者：冯淑惠 郑素芬[1] 黄秋红 陈春兰[1] FENG Shuhui;ZHENG Sufen;HUANG Qiuhong;CHEN Chunlan(Department of Nutrition and Diet,the Third People's Hospital of Jiangmen,Guangdong,Jiangmen 529000,China)

机构地区：[1]广东省江门市第三人民医院营养膳食科,广东江门529000

出　　处：《中国医药科学》2021年第3期1-3,7,共4页China Medicine And Pharmacy

基　　金：广东省中医药局科研项目(20202238)。

摘　　要：目的探析四君子汤加减配制肠内营养液用于老年科需肠内营养支持患者的临床价值。方法选取江门市第三人民医院2016年1月至2019年1月收治的300例老年科重度功能障碍需要营养治疗患者,按随机数字表法分成三组,100例为"介入中医药膳肠内营养组"(A组),予四君子汤介入;100例为"未介入中医药膳肠内营养组"(B组);另外100例为未接受肠内营养治疗的患者(C组)。90 d为一个观察周期。观察三组患者的在住院时肺部感染、腹泻、转院、死亡例数;临床症状好转时间差;血总蛋白、清蛋白、红细胞计数、前白蛋白、三头肌皮褶厚度指标。结果营养治疗前三组患者临床症状和营养指数差异无统计学意义(P>0.05),治疗后实施营养治疗的A、B组各指标优于C组,其中A组变化幅度更明显,三组差异有统计学意义(P<0.05)。结论为重度功能障碍、营养筛查评分≥3分的老年住院患者行四君子汤介入肠内营养治疗,能够降低老年重度功能障碍住院患者感染、死亡率,能缩短感染转归时间,临床效果好,值得推广。Objective To investigate the clinical value of preparation of enteral nutrition solution with modified Sijunzi Decoction for enteral nutrition support in department of geriatrics.Methods A total of 300 patients with severe dysfunction needed to be given nutritional therapy and admitted to department of geriatrics in the Third People’s Hospital of Jiangmen from January 2016 to January 2019 were selected and divided into the group of enteral nutrition Sijunzi Decoction intervened in Chinese medicine diet(n=100,group A),the group of nonenteral nutrition intervened in Chinese medicine diet(n=100,group B),and the group of non-enteral nutritional therapy(n=100,group C)according to the random number table method.Meanwhile,group A was intervened by modified Sijunzi Decoction,and 90 days was an observation cycle.The number of cases of pulmonary infection,diarrhea,transfer and death in the hospitalization cycle of the three groups of patients,the time difference of improvement of clinical symptoms,and the indexes of the serum total protein,albumin,HBC,prealbumin and triceps skinfold thickness were observed.Results There was no significant difference in clinical symptoms and nutritional index among the three groups before nutritional therapy(P>0.05).After nutritional therapy,each index in group A and group B was increased,especially in group A,with statistically significant differences among the three groups(P<0.05).Conclusion Enteral nutritional therapy with Sijunzi Decoction for elderly inpatients with severe dysfunction and nutrition screening score≥3 can reduce the incidence of infection and death of elderly inpatients with severe dysfunction,shorten the time of infection outcome,which has good clinical efficacy and is worthy of promotion.

关 键 词：四君子汤 肠内营养 营养治疗 重度功能障碍老年住院患者 营养筛查 

分 类 号：R259[医药卫生—中西医结合]