不同肠内营养输注方式对AECOPD无创通气治疗病人氧疗效果的影响

发布时间：2018-04-19 23:21

本文选题：慢性阻塞性肺疾病 + 无创通气　；参考：《肠外与肠内营养》2017年04期

【摘要】：目的:比较三种不同肠内营养(EN)输注方式对慢性阻塞性肺疾病急性发作期(AECOPD)无创通气病人氧疗效果产生的影响。方法:采用前瞻性对照研究方法,将96例AECOPD行无创通气治疗病人按入院顺序依次分为连续喂养组、间歇连续喂养组和定时灌注组,每组各32例。比较三组病人EN治疗后第3、5、7天动脉血p H值、PaO_2(氧分压)、PaCO_2(二氧化碳分压)、PaO_2/FiO_2(氧合指数)等指标,同时对比三组病人日均费用、入住ICU天数、机械通气天数等综合指标。结果:连续喂养组和间歇连续喂养组治疗后第7天的p H值、入住ICU时间、机械通气时间均优于定时灌注组(P0.05)。连续喂养组病人的营养支持费用明显低于间歇连续喂养组(P0.05)。结论:两种连续喂养方式均能有效改善无创通气的AECOPD病人缺氧状况,降低病人入住ICU天数,缩短机械通气时间,降低费用。
[Abstract]:Objective: to compare the effects of three different enteral nutrition (en) infusion methods on oxygen therapy in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods: 96 patients with AECOPD undergoing noninvasive ventilation were divided into three groups: continuous feeding group, intermittent continuous feeding group and regular perfusion group with 32 cases in each group. The arterial blood pH value of the three groups was compared with that of Pao _ 2 on the 7th day after en treatment, and the indexes such as Pao _ 2 / Paco _ 2 / Paco _ 2 / Paco _ 2 (oxygenation index) were compared. The average daily cost, the days of staying in ICU and the days of mechanical ventilation were compared among the three groups. Results: the pH value, ICU stay time and mechanical ventilation time of the continuous feeding group and intermittent continuous feeding group were better than that of the regular perfusion group on the 7th day after treatment. The cost of nutritional support in continuous feeding group was significantly lower than that in intermittent continuous feeding group. Conclusion: both continuous feeding methods can effectively improve the anoxia status of patients with AECOPD, reduce the number of days they stay in ICU, shorten the time of mechanical ventilation, and reduce the cost.
【作者单位】：重庆医科大学附属第一医院急诊医学科;
【基金】：重庆医科大学附属第一医院院级课题项目(HLJJ2015-20、HLJJ2012-16)
【分类号】：R459.3;R563.9

【相似文献】