老年重症肺炎病人营养支持治疗的疗效观察

发布时间：2018-12-12 14:36

【摘要】：目的:探讨两种不同的营养支持治疗对老年重症肺炎病人临床治疗疗效的影响。方法:将我院收治的老年重症肺炎病人84例随机分为两组,每组各42例。一组肠内营养(EN)组病人给予EN以鼻饲营养液治疗;另一组采用EN+肠外营养(PN)治疗为EN+PN组。治疗第4周,比较两组病人的营养指标改善情况、肺炎治愈率以及治疗期间并发症的发生率。结果:EN+PN组病人治疗后血红蛋白和清蛋白明显高于EN组,两组比较差异有显著性统计学意义(P0.05)。两组病人治愈率分别为92.86%和95.24%,无显著性差异(P0.05)。EN组病人的不良反应发生率明显高于EN+PN组(16.67%vs 7.14%),差异有显著性统计学意义(P0.05)。结论:采用EN+PN治疗的方法更加容易改善老年重症肺炎病人的营养指标,且不良反应发生率较低。
[Abstract]:Objective: to investigate the effect of two kinds of nutritional support therapy on elderly patients with severe pneumonia. Methods: 84 elderly patients with severe pneumonia were randomly divided into two groups, 42 cases in each group. One group of patients with enteral nutrition (EN) was given EN by nasal feeding and the other group was treated with EN parenteral nutrition (PN) as EN PN group. At the 4th week of treatment, the improvement of nutritional index, the cure rate of pneumonia and the incidence of complications during treatment were compared between the two groups. Results the levels of hemoglobin and albumin in: EN PN group were significantly higher than those in EN group (P0.05). The cure rates of the two groups were 92.86% and 95.24%, respectively. There was no significant difference between the two groups (P0.05). The incidence of adverse reactions in). EN group was significantly higher than that in EN PN group (16.67%vs 7.14%). The difference was statistically significant (P0.05). Conclusion: it is easier to improve the nutritional index of elderly patients with severe pneumonia by EN PN, and the incidence of adverse reactions is lower.
【作者单位】：南京市第二医院重症医学科;
【分类号】：R459.3;R563.1

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