早期营养支持对老年重症呼吸衰竭患者营养状况的影响

发布时间：2018-03-05 22:16

本文选题：营养支持　切入点：重症呼吸衰竭　出处：《中国老年学杂志》2017年19期 　论文类型：期刊论文

【摘要】：目的研究早期营养支持对老年重症呼吸衰竭患者营养状况的改善作用。方法 70例入住加强护理病房(ICU)老年重症呼吸衰竭患者按照抽签法随机分为试验组和对照组各35例。两组均给予抗感染、抗生素、祛痰、呼吸调节、吸氧等常规治疗。对照组在此基础上,采用肠外营养支持,静脉滴注营养混合液。试验组在此基础上,采用经鼻肠内营养支持,将肠内营养乳剂、牛奶、食物碎末混合后,经鼻喂养。观察两组无创通气时间、有创通气比率、ICU住院时间,血清白蛋白(ALB)、红蛋白(HGB)、总蛋白(TP),肺功能指标用力肺活量(FVC)、1 s用力呼气量(FEV1)、最大呼气流量(PEF),血气指标p H值、血氧分压(PaO_2)、血二氧化碳分压(PaCO_2)及并发症发生率。结果试验组无创通气时间、ICU住院时间均显著低于对照组,有创通气率显著高于对照组(P0.05);血清ALB、HGB、TP显著高于对照组(P0.05);FVC、FEV1、PEF显著高于对照组(P0.05);PaO_2水平显著高于对照组;PaCO_2水平显著低于对照组(P0.05);并发症总发生率显著低于对照组(P0.05);两组p H值无显著差异(P0.05)。结论早期营养支持对老年重症呼吸衰竭患者营养状况具有一定的改善作用,合理的营养支持模式能够促进营养摄入,改善预后,降低死亡率。
[Abstract]:Objective to study the effect of early nutrition support on nutritional status of elderly patients with severe respiratory failure. Methods 70 elderly patients with severe respiratory failure were randomly divided into trial group and control group according to drawing lots. Both groups were given anti-infection, Routine treatment such as antibiotics, expectorant, respiratory regulation, oxygen inhalation, etc. The control group was treated with parenteral nutrition support and intravenous infusion of nutritional mixture. On this basis, the experimental group was treated with naso-enteral nutrition support and enteral nutrition emulsion. Milk and food powder were mixed and fed through nose. The time of noninvasive ventilation and the ratio of invasive ventilation to ICU were observed. Serum Albumin (ALB), Erythrin (HGBG), Total protein (TPN), forced vital capacity (FVC), forced expiratory volume (FEV1), maximum expiratory flow (PEF), blood gas index (pH), forced expiratory volume (FEV1). Results compared with the control group, the duration of non-invasive ventilation and the hospital stay in ICU in the trial group were significantly lower than those in the control group. The rate of invasive ventilation was significantly higher than that of the control group (P 0.05), the level of serum ALB HGBN TP was significantly higher than that of the control group (P 0.05), the level of FEV1 / PEF was significantly higher than that of the control group (P 0.05), the level of PaCO2 was significantly higher than that of the control group (P 0.05), the total incidence of complications was significantly lower than that of the control group (P 0.05), and the level of PEF in the two groups was significantly higher than that in the control group (P < 0.05). Conclusion early nutritional support can improve the nutritional status of elderly patients with severe respiratory failure. Rational nutrition support model can promote nutrition intake, improve prognosis and reduce mortality.
【作者单位】：郑州铁路职业技术学院;郑州大学第五附属医院;
【分类号】：R563.8

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