慢性阻塞性肺病患者机械通气的营养支持治疗被引量：5

Effects of different alimentotherapies on patients with chronic obstructive palmonary disease received mechanical ventilation

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摘要目的评价不同营养支持对接受机械通气的慢性阻塞性肺病(COPD)患者的治疗效果。方法35例接受机械通气的COPD患者分别给予肠内营养(EN,10例)、肠外营养(PN,11例)、PN+EN序贯治疗(14例),监测各营养组间治疗前后的血清总蛋白、白蛋白、血红蛋白、IgA和医疗费用等指标,进行对比比较。结果机械通气开始时各营养组间血清总蛋白、白蛋白、血红蛋白、IgA和医疗费用等差异均无显著性,但在治疗7天后EN组的血清总蛋白、白蛋白、血红蛋白和IgA均高于其他组(P<0.05),医疗费用明显低于其他各组(P<0.01)。结论对于COPD机械通气的患者,EN更符合生理状态,更能有效地改善机械通气患者的营养状况,缩短呼吸机应用时间,提高撤机的成功率,并大幅度降低医疗费用。

作者李哲

机构地区余姚市人民医院

出处《现代实用医学》 2005年第7期413-414,共2页 Modern Practical Medicine

关键词慢性阻塞性肺病机械通气肠内营养肠外营养

分类号 R563.405 [医药卫生—呼吸系统]

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参考文献5

1冼乐武,梁宗安,冯玉麟.肠外营养对慢性阻塞性肺疾病急性加重期患者的影响[J].中国呼吸与危重监护杂志,2002,1(1):13-16. 被引量：37
2陈强.慢性阻塞性肺病呼吸衰竭机械通气探讨[J].医学文选,2004,23(2):135-136. 被引量：4
3Laaban JP. Nutrition and chronic respiratory failure[J]. Ann Med Interne,2000,151:542-548.
4Pichard C, Jolliet P, Chevrolet JC,et al. Recombinant human growth hormone in chronic and acute respiratory insufficiency[J]. Horm Res, 1996,46:222-229.
5Whittaker JS, Ryan CF, Buckley PA, et al. The effects of refeeding on peripheral and respiratory muscle function in malnourished chronic obstructive pulmonary disease patients [J]. Am Rev Respir Dis, 1990,142(2):283-288.

二级参考文献11

1[2]Levy MM,Miyasaki,A Langston D. Work of breathing as a weaning parameter in mechanically vetilated patients[J].Chest, 1995,108:1010～1021
2[3]Takala J,Askanazi J,Weissanan C,et al. Changes in respiratory control induced by amino acid infusions [J]. Crit Care ed,1988,16:465～469
3Leaban JP, Kouchakji B, Dore MF, et al. Nutritional status of patients with chronic obstructive pulmonary disease and acute respiratory failure. Chest, 1993; 103:1362～1368
4Hwand TL, Huang SL, Chen MF. Effects of intravenous fat emulsion on respiratory failure. Chest, 1990; 97:934～936
5Ball MJ, Sear JW. Intravenous feeding with medium chain triglycerides. Effect on blood gases and the complement system in critically ill patient. Anesthesia, 1986; 41: 423～ 435
6Johnson RC, Young SK, Cotter R, et al. Medium-chain-triglyceride lipid emulsion metabolism and tissue distribution. Am J Clin Nutr,1990; 52:502
7Rochester DF. Nutritional repletion. Semin Respir Med, 1992; 13:44～67
8Driver AG, McAlevy MT, Smith JL , et al. Nutritional assessment of patients with chronic obstructive pulmonary disease and acute respiratory failure. Chest, 1982; 82: 568～575
9Girodon F, Galan P, Monget AL, et al. Impact of trace elements and vitamin supplementation on immunity and infection in institutionalized elderly patients: randomized controlled trial. MIN. VIT.AOX. Pediatric network. Arch Intern Med, 1999; 159:748～754
10王辰,商鸣宇,黄克武,童朝晖,姜超美,代华平,张洪玉,翁心植.有创与无创序贯性机械通气治疗慢性阻塞性肺疾病所致严重呼吸衰竭的研究[J].中华结核和呼吸杂志,2000,23(4):212-216. 被引量：702