摘要
目的观察静脉营养支持对机械通气COPD患者的临床疗效。方法将70例机械通气COPD患者随机分为试验组和对照组各35例。两组均予以常规抗感染、吸氧、止咳化痰、平喘、纠正电解质紊乱等治疗,试验组予以白蛋白、氨基酸、脂肪乳等经静脉营养支持治疗,对照组仅给予葡萄糖等一般治疗。结果治疗组与对照组比较,血清白蛋白(ALB)、前白蛋白(PALB)、血红蛋白(HB)、三头肌皮褶厚度(TSF)、上臂肌围(MAMC)均明显高于对照组,肺功能明显改善,两组比较有统计学意义(P<0.05)。结论静脉营养支持疗法可明显改善COPD合并呼吸衰竭患者的营养状态和肺功能,提高临床疗效,促进疾病的康复。
Objective To observe the clinical curative effects of intravenous nutritional support therapy for chronic obstructive pulmonary disease patients with respiratory failure. Methods Seventy patients with chronic obstructive puhnonary disease patients with respiratory failure were randomly divided into two groups, ie. trial group （n = 35 ）and control group（ n = 35 ）. Both groups were given routine anti-infection, oxygenation, and so on. The trial group was additionally given intravenous nutritional support therapy such as albumin, amino acid and lipid emulsion. Results Compared with that of the control group,the serum albumin level of albumin, prealbumin, hemoglobin, triceps skin fold thickness and mean aim muscle eircum ferenee rose obviously,and the lung function improved noticeably. There were significant differences between the two groups（P 〈 0. 05 ）. Conclusion Intravenous nutrition support therapy can significantly improve the nutritional condition and the lung function of the patients having chronic obstructive pulmonary disease patients with respiratory failure disease, which can enhance the clinical curative results.
出处
《临床肺科杂志》
2010年第5期667-668,共2页
Journal of Clinical Pulmonary Medicine
关键词
静脉营养
慢性阻塞性肺病
呼吸衰竭
营养状况
parenteral nutrition
chronic obstructive pulmonary disease
respiratory failure
nictrition status
