慢阻肺急性加重期病人肠内营养支持的临床观察

发布时间：2018-03-25 13:05

本文选题：肠内营养　切入点：慢阻肺急性加重期　出处：《肠外与肠内营养》2017年04期

【摘要】：目的:探讨肠内营养(EN)对慢阻肺急性加重期病人临床效果的影响。方法:选取2015年1月到2016年12月在我科治疗的慢阻肺急性加重期病人96例,随机分成观察组48例和对照组48例(常规饮食),二组病人均给予抗感染及相关对症治疗,观察组给予肠内营养支持治疗,2周后比较二组的血清蛋白和肺功能变化,观察两组病人抗菌药物使用天数、住院天数、3月内再入院率。结果:观察组在经治疗后血清白蛋白(ALB)、前白蛋白(PA)、FEV1、FEV1/FVC较对照组明显提高,抗菌药物使用天数、住院天数、3月内再住院率均明显降低,P0.05,差异具有统计学意义。结论:肠内营养可以改善慢阻肺急性加重期病人的营养状况和肺功能,缩短住院时间及抗菌素使用天数,减少再住院率,促进病人康复,值得临床广泛使用。
[Abstract]:Objective: to investigate the effect of enteral nutrition (en) on patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods: 96 patients with acute exacerbation of COPD treated in our department from January 2015 to December 2016 were selected. They were randomly divided into observation group (n = 48) and control group (n = 48). The patients in both groups were treated with anti-infection and related symptomatic therapy. The changes of serum protein and pulmonary function were compared between the two groups after two weeks of enteral nutrition support therapy. Results: the days of antimicrobial use, the days of hospitalization, and the readmission rate in three months were observed in the two groups. Results: in the observation group, the serum albumin (Alb), FEV1 / FEV1 / FVC were significantly higher than those in the control group, and the days of antibiotic use in the observation group were significantly higher than those in the control group. The days of hospitalization and the rate of rehospitalization within 3 months were significantly decreased (P 0.05). Conclusion: enteral nutrition can improve the nutritional status and pulmonary function of patients with acute exacerbation of COPD, shorten the duration of hospitalization and the days of antibiotic use. Reducing the rate of re-hospitalization and promoting the recovery of patients is worthy of extensive clinical use.
【作者单位】：洛阳东方医院呼吸科;
【分类号】：R459.3;R563.9

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