肠内营养在慢性阻塞性肺病机械通气治疗与护理中的作用

目的　探讨肠内营养对慢性阻塞性肺病 (COPD)机械通气治疗与护理中的作用。方法　行机械通气的2 8例患者随机分为 2组 ,治疗组 14例给予安素营养 4周 ,对照组 14例给予一定量糖、脂肪、氨基酸等常规输液 ,上述两组病人每周常规测定血清蛋白 (ALB)、IgA、IgG、IgM、FEV1、PaO2 、PaCO2 及一次脱机成功率。结果　治疗 2周末实验组ALB、IgA、IgG、IgM均显著高于对照组 (P <0 0 5 ) ;治疗 4周末治疗组所有指标均显著高于对照组 (P <0 0 5 )。结论　肠内营养是COPD机械通气患者的一项重要治疗措施 ,良好细致的护理是保证其成功实施的关键

Effectiveness of Enteral Nutrition in the Treatment and Nursing of Mechanically Ventilated Patients with Chronic Obstructive Pulmonary Disease

Objective To explore the effectiveness of enteral nutrition in the treatment and nursing of mechanical ventilated patients with chronic obstructive pulmonary disease (COPD).Methods 28 patients were divided in to two groups.The experimental group received enteral,l nutrition four weeks.The serum albumin (ALB),IgA,IgG,IgM,FEV1,PaO 2,PaCO 2 and successful rate without meachanical ventilation were measured once each week.Results At the end of the 2nd week,ALB,IgA,IgG,IgM in the experimental group were significantly higher than those in the control group(P<0.05).Conclusions Enteral nutrition is an important measure for treatment of patients with COPD.Careful high-quality nursing is a key step for the implementation of enteral nutrition.