自制匀浆膳在慢性阻塞性肺疾病患者机械通气中的应用价值.pdf

2009 7 29 7 Clin icalM edicine, July 2009, Vo.l 29, No7 7 金先银 何军 王建斌 ( 安徽省淮北市人民医院 ICU, 淮北 235000) 探讨管饲匀浆膳对慢性阻塞性肺 病 ( COPD)并发呼吸衰竭患者机械通气的营养支持效果 随 机将 60例 COPD 患者分为对照组( n = 30)与治疗组( n = 30) , 两组均给予抗感染祛痰解痉平喘纠正水电解质紊乱 等常规治疗对照组给予能全素鼻饲, 治疗组给予自制匀浆膳分次胃内注入, 并监测相关数据 治疗组较对照组 在提高血液中血红蛋白 (H b)血清总蛋白(TP)白蛋白( ALB) 外周血淋巴细胞( TCL)含量及降低血尿素氮( BUN) 更明 显, 并能减少并发症的发生率, 缩短机械通气及入住 ICU 时间, 减少医疗费用 对 COPD 行机械通气的患者进行 肠内匀浆营养更安全方便经济有效 匀浆膳; 慢性阻塞性肺病; 机械通气; 肠内营养 Evaluation of th e im pact of se lt- m ade hom ogenate d iet in COPD patien ts rece ived m echan ical ven tilation JI N X ia- nyin, H E Jun, WAN G J ianb in. H ua ibei P eop le sH osp ital, H ua ibe i 235000, Ch ina A bstract O bj ective T o investi ate the mi pact of tube feed of self- made hom o enate d iet on the nu tritious supp lem ents in COPD patients received m echanical ven tilation. M e thods S ixty patients w ere random ly d ivided into con trol roup ( n= 30) and treatm ent roup ( n= 30) . A ll the patients in wt o roups w ere iven the sam e routine treatm en t of anti- infection, expectorant, relievin spasm, antiasthm a, balancin hydro- electrolytic d isorder etc. The control roup w as iven tube feed of nu tison, the treatm ent roup w as iven hom o enate diet. The relevant data w as m onitored. R esu lts The treatm ent roup is m ore obvious to mi proveH b, TP, ALB, TCL and decline BUN. Therew ere si n ificant d ifferences to reduce the comp lications and cost of the nu- trition, short the mechan ical ventilation tmi e and in ICU stay tmi e. Conc lu sion H om o enate diet ism ore conven ient, econom -i cal, effective and safer than that of nutrison for COPD patients w ith mechan ical ventilation K ey w ords H om o enate d iet; Chron ic obstructive pulm onary disease; M echanical ventilation; Enteral nutrition ( COPD )