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| 慢性阻塞性肺疾病患者机械通气早期营养支持的临床研究 | |
| 引用本文： | 张黔,卫波,余猛进,陈晓宏,石正蒙,杨瑛.慢性阻塞性肺疾病患者机械通气早期营养支持的临床研究[J].医学综述,2011,17(7):1089-1091. |
| 作者姓名： | 张黔 卫波 余猛进 陈晓宏 石正蒙 杨瑛 |
| 作者单位： | 1. 上海浦东新区人民医院急诊科,上海,201200 2. 上海中医药大学附属曙光医院重症监护科,上海,201200 3. 上海浦东新区人民医院护理部,上海,201200 |
| 基金项目： | 上海市浦东新区卫生系统优秀学科带头人计划，上海市浦东新区卫生局基金项目 |
| 摘 要： | 目的探讨慢性阻塞性肺疾病(COPD)患者机械通气早期合适的营养支持方式。方法 56例COPD机械通气患者随机分为肠内营养组(27例)、肠内外联合营养组(29例),分别给予肠内营养(EN)及肠内外联合营养。观察机械通气7 d内高血糖、电解质紊乱、EN不耐受发生率及脱机成功率,并检测患者血浆白蛋白、前白蛋白、转铁蛋白、D-乳酸、二胺氧化酶水平的变化。结果肠内外联合营养组患者治疗7 d内的脱机率和EN不耐受率明显低于肠内营养组(P<0.05);高血糖、电解质紊乱发生率两组差异不明显(P>0.05),肠内外联合营养组患者的前白蛋白、转铁蛋白、D-乳酸、二胺氧化酶水平改善优于肠内营养组(P<0.05)。结论肠内外营养联合治疗能较快改善COPD机械通气患者早期营养水平,保护肠道屏障功能,提高早期撤机成功率,是一种较为合适的营养支持方法。 |
| 关 键 词： | 慢性阻塞性肺疾病 机械通气 早期营养支持 |
Early Nutritional Support in Chronic Obsructive Pulmonary Disease Patients Recieved Mechanical Ventilation |
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| ZHANG Qian,WEI Bo,YU Men-jin,CHEN Xiao-hong,SHI Zheng-meng,YANG Ying.Early Nutritional Support in Chronic Obsructive Pulmonary Disease Patients Recieved Mechanical Ventilation[J].Medical Recapitulate,2011,17(7):1089-1091. | |
| Authors: | ZHANG Qian WEI Bo YU Men-jin CHEN Xiao-hong SHI Zheng-meng YANG Ying |
| Institution: | 1.Department of Emergency,Pudong New Area People′s Hospital,Shanghai 201200,China;2.Department of Nursing,Pudong New Area People′s Hospital,Shanghai 201200,China;3.Department of Intensive Care Therapy,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201200,China) |
| Abstract: | Objective To explore the appropriate way of early nutritional support in chronic obsructive pulmonary disease(COPD)patients who recieved mechanical ventilation.Methods 56 COPD patients with mechanical ventilation were randomly assigned to enteral nutrition group received enteral nutrition(27 patients)and joint group received enteral and parenteral nutrition(29 patients).And then we investigated the incidences of hyperglycemia,electrolyte disturbance,EN intolerance and successful rate of weaned off mechanial... |
| Keywords: | Chronic obsructive pulmonary disease Mechanical ventilation Early nutrition support |
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